STEWART CHARLES LITTLE (NPI# 1558583021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558583021 |
| Entity Type | Individual |
| Full Name | STEWART CHARLES LITTLE |
| Credential | MD |
| Practice Address |
2358 Lifestyle Way Ste 212 Chattanooga TN 37421-2291 |
| Mailing Address |
1107 Memorial Drive Suite 201 Dalton GA 30720-8662 |
| Practice Telephone | 4235211100 |
| Practice Fax Number | 4235211200 |
| Mailing Telephone | 7062777311 |
| Mailing Fax Number | 7062723512 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
55389 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q027092 | 05 |
| Street Address |
2358 LIFESTYLE WAY STE 212 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561549 | Jared Wade Barton | Physician Assistant | 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421-4904 | 2019-04-29 |
| 1699291724 | Katherine Marie Chastain | Physician Assistant | 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421-2291 | 2017-08-21 |
| 1548627912 | Anisha E Mathi | Physician Assistant | 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421-2291 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976213 | The Plastic Surgery Group,pc | Surgery | 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421-3188 | 2018-03-20 |
| 1346361433 | Jimmy Lee Waldrop Jr. | Surgery | 979 E 3rd St, Suite C-920, Chattanooga, TN 37403-2136 | 2007-04-03 |
| 1598872632 | Thomas Marion Beahm | Surgery | 1949 Gunbarrel Rd, Suite 100, Chattanooga, TN 37421-3186 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255829552 | Ahmed Al Bayati | Surgery | Medical Center North 1161 21st Avenue S Suite Ccc-4312, Nashville, TN 37232-0001 | 2018-04-23 |
| 1275039661 | Mekia Truclaye Kauffman | Surgery | 1934 Alcoa Hwy Ste D-362, Knoxville, TN 37920-1524 | 2018-04-04 |
| 1497137574 | Daniel A Hatef Md, Pllc | Surgery | 6200 Highway 100 Ste 101, Nashville, TN 37205-4252 | 2015-06-24 |
| 1336588201 | Nashville Plastic and Reconstructive Surgery, Plc | Surgery | 2201 Murphy Ave Ste 301, Nashville, TN 37203-1956 | 2013-06-24 |
| 1851657597 | Jordi Puente Espel | Surgery | 6215 Humphreys Blvd Ste 103, Memphis, TN 38120-2382 | 2012-04-06 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1942500319 | Sieveking Plastic Surgery | Surgery | 204 23rd Ave N, Nashville, TN 37203-1502 | 2010-11-01 |
| 1275733081 | Natasha Nicole Luckey | Surgery | 2001 Mallory Ln Ste 205, Franklin, TN 37067-8235 | 2007-07-19 |
| 1841406063 | Robert F Garza | Surgery | 4322 Harding Rd, Suite 326, Nashville, TN 37205-2490 | 2007-05-15 |
| 1780711804 | Jack Fisher | Surgery | 310 23rd Ave N Ste 101, Nashville, TN 37203-1525 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on STEWART CHARLES LITTLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.