GLENN NOEL POMERANCE (NPI# 1609868017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609868017 |
| Entity Type | Individual |
| Full Name | GLENN NOEL POMERANCE |
| Credential | M.D. |
| Practice Address |
1801 Gunbarrel Rd Chattanooga TN 37421-3130 |
| Practice Telephone | 4238586800 |
| Practice Fax Number | 4238551108 |
| Mailing Telephone | 4238586800 |
| Mailing Fax Number | 4238551108 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000015600 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE GROUP NUMBER | 3709593 | 01 |
| TN | CIGNA PROVIDER NUMBER | 0452389 | 01 |
| TN | DMERC GROUP NUMBER | 0393990001 | 01 |
| TN | 3709593 | 05 | |
| TN | MEDICARE | 3008472 | 01 |
| TN | RAILRAOD MEDICARE | 180029735 | 01 |
| TN | BLUE CROSS PROVIDER NUMBE | 36857 | 01 |
| TN | AETNA PROVIDER NUMBER | 4139738 | 01 |
| TN | JOHN DEERE PROVIDER NUMBE | TN0101 | 01 |
| Street Address |
1801 GUNBARREL RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841589116 | Renaissance Surgery Center of Chattanooga, LLC | Clinic/Center | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2011-04-07 |
| 1568646974 | Gene Lee | Specialist | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2007-12-20 |
| 1700929643 | Pomerance Eye Center, PC | Specialist | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2007-02-14 |
| 1174534200 | Pomerance Eye Center, PC | Eyewear Supplier (Equipment, not the service) | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-08-11 |
| 1508822032 | Bradley S. Keller | Nurse Anesthetist, Certified Registered | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-04-24 |
| 1578555835 | Michelle Lynn Yu Robison | Specialist | 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2005-08-22 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1285048900 | Embryo Services LLC | Specialist | 7407 Ziegler Rd, Suite B, Chattanooga, TN 37421-3157 | 2014-06-20 |
| 1336560812 | James Edward Mckinney | Specialist | 13 Fairhills Dr, Chattanooga, TN 37405-4324 | 2013-12-30 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1467779652 | Eva J Goldyn | Specialist | 931 Spring Creek Rd, Suite 101, Chattanooga, TN 37412-3959 | 2010-04-27 |
| 1649503681 | Johnny D. Patmon | Specialist | 3002 Wheeler Ave, Chattanooga, TN 37406-3945 | 2009-09-09 |
| 1225282445 | Catherine Ann Thomas | Specialist | 6201 Lee Hwy Ste A, Chattanooga, TN 37421-0306 | 2008-11-14 |
| 1790979177 | Plaza Orthopaedics | Specialist | 2339 Mccallie Ave Ste 201, Chattanooga, TN 37404-3208 | 2007-08-29 |
| 1467651455 | Jitendra G. Gandhi | Specialist | 7425 Ziegler Rd Ste 109, Chattanooga, TN 37421-4178 | 2007-07-11 |
| 1215134275 | Allied Eye Associates, P.l.l.c. | Specialist | 7405 Shallowford Rd., Suite 420, Chattanooga, TN 37421 | 2007-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on GLENN NOEL POMERANCE.
| 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.