PLAZA ORTHOPAEDICS (NPI# 1790979177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790979177 |
| Entity Type | Organization |
| Organization Name | PLAZA ORTHOPAEDICS |
| Practice Address |
2339 Mccallie Ave Ste 201 Chattanooga TN 37404-3208 |
| Practice Telephone | 4236984483 |
| Practice Fax Number | 4236984489 |
| Mailing Telephone | 4236984483 |
| Mailing Fax Number | 4236984489 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. WALTER H KING JR. (PRESIDENT) |
| Authorized Official Telephone | 4236984483 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000007018 | TN | Other Service Providers |
| Street Address |
2339 MCCALLIE AVE STE 201 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3208 |
| 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 | 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 |
| 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 |
| 1104022037 | Optima Healthcare | Specialist | 3475 Brainerd Rd, Chattanooga, TN 37411-3506 | 2007-06-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on PLAZA ORTHOPAEDICS.
| 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.