HERITAGE OB GYN CLINIC OF CHATTANOOGA PLLC (NPI# 1629687314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629687314 |
| Entity Type | Organization |
| Organization Name | HERITAGE OB GYN CLINIC OF CHATTANOOGA PLLC |
| Practice Address |
935 Spring Creek Rd Chattanooga TN 37412-3993 |
| Practice Telephone | 4232062655 |
| Practice Fax Number | 4232062656 |
| Mailing Telephone | 4232062655 |
| Mailing Fax Number | 4232062656 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | GREGG A WILLIS (OWNER) |
| Authorized Official Telephone | 4232062655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
935 SPRING CREEK RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769059 | Barry Richard Vaughn | Orthopaedic Surgery | 935 Spring Creek Rd, Suite 200, Chattanooga, TN 37412-3993 | 2005-08-31 |
| 1063802734 | Tri-state Gastroenterology Associates, Pllc | Internal Medicine | 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3993 | 2015-02-02 |
| 1275861791 | Terry M. Rogers | Registered Nurse | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2009-11-20 |
| 1497876049 | Robin Tidwell Jones | Nurse Practitioner | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2007-04-02 |
| 1396786745 | Columbia Medical Group-parkridge Inc. | Internal Medicine | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2006-06-09 |
| 1417946922 | Martin S Martin | Internal Medicine | 935 Spring Creek Rd, Ste. 100, Chattanooga, TN 37412-3993 | 2005-10-18 |
| 1104810027 | Nikhil S Shah | Internal Medicine | 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3909 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366891202 | Jessica Gambill Putman | Obstetrics & Gynecology | 979 E 3rd St Ste 720, Chattanooga, TN 37403-2136 | 2016-06-10 |
| 1992064539 | Carson Tyler Kaeser | Obstetrics & Gynecology | 979 E 3rd St Ste C725, Chattanooga, TN 37403-3329 | 2012-05-15 |
| 1841579620 | Stanley J. Dressler | Obstetrics & Gynecology | 232 Blackwell Farm Rd, Chattanooga, TN 37421 | 2011-08-10 |
| 1376844712 | Doyce Gene Payne | Obstetrics & Gynecology | 2543 Baskette Way, Chattanooga, TN 37421 | 2010-11-16 |
| 1932393626 | Dr. William J. Moss | Obstetrics & Gynecology | 1755 Gunbarrel Rd Ste 205, Chattanooga, TN 37421-3185 | 2007-09-05 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1417970054 | Jack M. Rowland | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2006-07-25 |
| 1336171511 | Gregg A Willis | Obstetrics & Gynecology | 935 Spring Creek Rd Ste 100, Chattanooga, TN 37412-3994 | 2006-07-07 |
| 1063450427 | Elizabeth Maria Bowers | Obstetrics & Gynecology | 1751 Gunbarrel Road, Suite 100, Chattanooga, TN 37421 | 2006-06-04 |
| 1720054042 | Jay Perry White | Obstetrics & Gynecology | 1651 Gunbarrel Rd Ste 201, Chattanooga, TN 37421-3291 | 2006-02-27 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
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| 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.