DIGESTIVE HEALTH ASSOCIATES, PC (NPI# 1710080973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710080973 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE HEALTH ASSOCIATES, PC |
| Practice Address |
2515 Desales Ave Suite 206 Chattanooga TN 37404-1100 |
| Practice Telephone | 4236988101 |
| Practice Fax Number | 4236983450 |
| Mailing Telephone | 4236988101 |
| Mailing Fax Number | 4236983450 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | DR. VIJAY P PATEL (PRESIDENT) |
| Authorized Official Telephone | 4236988101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
20740 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI SHANNON FAIRES | 1316226616 | 01 | |
| TN | NPI FOR JAMES S MANTON MD | 1538141411 | 01 |
| TN | MEDICARE DESTIN GRIFFIN TRUSSELL | 103I502665 | 01 |
| TN | NPI FOR VIJAY PATEL, MD | 1558343434 | 01 |
| NPI DESTIN GRIFFIN TRUSSELL | 1649558081 | 01 | |
| TN | NPI FOR DONALD HETZEL, MD | 1932181245 | 01 |
| TN | TN MEDICARE SHANNON FAIRES | 103I502664 | 01 |
| TN | 3723922 | 05 |
| Street Address |
2515 DESALES AVE SUITE 206 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932181245 | Donald Paul Hetzel | Internal Medicine | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2005-11-14 |
| 1316226616 | Shannon Higgins Faires | Nurse Practitioner | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2011-08-04 |
| 1306036447 | William M Cooney | Internal Medicine | 2515 Desales Ave, Ste 206, Chattanooga, TN 37404-1100 | 2007-07-25 |
| 1154421428 | Vascular Associates, PC | Surgery | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2006-09-25 |
| 1740256197 | The Associates of Memorial Mission Surgery Center, LLC | Clinic/Center | 2515 Desales Ave, Chattanooga, TN 37404-1100 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376703405 | Susanna Rae Crouch | Internal Medicine | 2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates of Chattanooga, PC, Chattanooga, TN 37404-3229 | 2008-06-12 |
| 1790984300 | Laxmi Parsa | Internal Medicine | 979 E 3rd St Ste C825, Chattanooga, TN 37403 | 2007-07-13 |
| 1316013121 | Alan F Shikoh | Internal Medicine | 721 Glenwood Dr Ste W473, Chattanooga, TN 37404 | 2006-11-27 |
| 1558337451 | Sumeet Jagdish Bhushan | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-02-28 |
| 1538141411 | James Scott Manton | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2005-11-16 |
| 1932181245 | Donald Paul Hetzel | Internal Medicine | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2005-11-14 |
| 1124024534 | Chattanooga Gastroenterology, PC | Internal Medicine | 2341 Mccallie Avenue, Plaza Three, Suite 400, Chattanooga, TN 37404 | 2005-06-22 |
| 1063802734 | Tri-state Gastroenterology Associates, Pllc | Internal Medicine | 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3993 | 2015-02-02 |
| 1013215078 | Charles Robert Bosshardt | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2011-03-01 |
| 1801025440 | Arslan A. Kahloon | Internal Medicine | 979 East Third Street, Suite C-825, Chattanooga, TN 37403-3304 | 2009-07-03 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.