MATTHEW ADAM KRETH (NPI# 1750609939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750609939 |
| Entity Type | Individual |
| Full Name | MATTHEW ADAM KRETH |
| Credential | M.D. |
| Practice Address |
910 Blackford St Chattanooga TN 37403-1405 |
| Mailing Address |
975 E 3rd St Attn: Provider Enrollment Chattanooga TN 37403-2147 |
| Practice Telephone | 4237786501 |
| Practice Fax Number | 4237786837 |
| Mailing Telephone | 4237786501 |
| Mailing Fax Number | 4237786937 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
54125 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
910 BLACKFORD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070651 | David M Suhrbier | Psychiatry & Neurology | 910 Blackford St, Chattanooga, TN 37403-1405 | 2005-08-10 |
| 1528667037 | Ian Andrews | Registered Nurse | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-10-26 |
| 1407476518 | Tanner Douglas Cabbage | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-18 |
| 1093334302 | Nikita Patil | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-16 |
| 1851910269 | Daniel Mathis | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1295354538 | David Anthony Sheron II | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1821627076 | Merla Johanna Hubler | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1174142327 | Jenna Mae Dedeker Shoemaker | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586694 | Kathleen Richey Demars | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586629 | Joshua Bland | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235348350 | Devon A. Greene | Pediatrics | 910 Blackford Street, Chattanooga, TN 37403 | 2007-05-22 |
| 1639101785 | Joel C. Ledbetter | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841770864 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 | 2018-08-20 |
| 1801801378 | Elizabeth Perkett | Pediatrics | 11215 Dot Vanderbilt Childrens, 2200 Childrens Way, Nashville, TN 37232-0001 | 2006-07-30 |
| 1649258484 | Daniel Joseph Heintz | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-01-03 |
| 1487089983 | Mariana Bedoya Pulgar Vidal | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1005 | 2013-09-04 |
| 1780933531 | Divya Salhan | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105 | 2012-09-06 |
| 1972859890 | Ahsan Bashir | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2012-07-29 |
| 1457672313 | Catherine Donnellan Sanders | Pediatrics | 51 N Dunlap St, 4th Floor, Memphis, TN 38105-4625 | 2010-06-15 |
| 1063745834 | Walter M Robinson | Pediatrics | 2200 Childrens Way, 11215 Doctor's Office Tower, Nashville, TN 37232-0005 | 2009-09-11 |
| 1689854838 | Safina Kureshi | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2007-11-05 |
| 1417144916 | Saumini Srinivasan | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2007-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.