BEN EDGAR COTTRELL (NPI# 1801842570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801842570 |
| Entity Type | Individual |
| Full Name | BEN EDGAR COTTRELL |
| Credential | MD |
| Practice Address |
705 Black Creek Dr Chattanooga TN 37419-2190 |
| Practice Telephone | 9315886356 |
| Mailing Telephone | 9315886356 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35175 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35175 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 35175 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3862466 | 05 | |
| TN | AMERICHOICE | TN0109 | 01 |
| TN | 3862460 | 05 | |
| TN | BLUE CROSS | 4144771 | 01 |
| Street Address |
705 BLACK CREEK DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37419-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298559 | Naushaba Hasan | Internal Medicine | 3520 Cummings Hwy, Chattanooga, TN 37419 | 2005-10-07 |
| 1891093746 | Karen Marie Leblanc | Optometrist | 3550 Cummings Hwy, Chattanooga, TN 37419 | 2011-03-02 |
| 1730419474 | Melissa J Smith Vaughn | Nurse Practitioner | 1025 Cumberland Rd, Chattanooga, TN 37419-1000 | 2009-12-31 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1831321553 | John R Mcgauley Jr. | Emergency Medicine | 3134 Waterfront Dr, Chattanooga, TN 37419-1535 | 2009-08-13 |
| 1487190914 | Hormones 4 Life LLC | Obstetrics & Gynecology | 3172 Waterfront Dr, Chattanooga, TN 37419-1541 | 2017-01-08 |
| 1073616785 | Tennessee Cvs Pharmacy LLC | Pharmacy | 321 Browns Ferry Rd, Chattanooga, TN 37419-1546 | 2006-09-07 |
| 1447343801 | Bi Lo LLC | Pharmacy | 115 Browns Ferry Rd, Chattanooga, TN 37419-1713 | 2006-09-30 |
| 1477828358 | Viscus Inc | In Home Supportive Care | 241 S Aster Ave, Chattanooga, TN 37419-1718 | 2012-03-12 |
| 1316919384 | Punit Bhutwala | Internal Medicine | 609 Magnolia Vale Dr, Chattanooga, TN 37419-2185 | 2006-02-03 |
| Find all providers in zip 37419 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| 1831321553 | John R Mcgauley Jr. | Emergency Medicine | 3134 Waterfront Dr, Chattanooga, TN 37419-1535 | 2009-08-13 |
| 1962645812 | Jason Christopher Nicely | Emergency Medicine | 9425 Shadow Point Cir, Chattanooga, TN 37421-5372 | 2009-04-08 |
| 1952580599 | Nia Malene Foderingham | Emergency Medicine | 9029 Jenny Lynn Dr, Chattanooga, TN 37421-4595 | 2007-10-31 |
| 1790988582 | Joseph B Sobel | Emergency Medicine | 1 Cameron Hill Cir, Chattanooga, TN 37402-9815 | 2007-06-08 |
| 1821203357 | Joshua Dean Murphy | Emergency Medicine | 8507 Creek Stone Dr, Chattanooga, TN 37421-2739 | 2007-05-10 |
| 1164510186 | Timothy R Todd | Emergency Medicine | 9216 Royal Mountain Dr, Chattanooga, TN 37421-7405 | 2006-10-11 |
| 1124063177 | Robert Anthony Hill | Emergency Medicine | 3167 Elmendorf Cir, City of Chattanooga Welladvantage Wellness Center, Chattanooga, TN 37406-4004 | 2006-06-16 |
| 1669413415 | Susan Leslie Vergot | Emergency Medicine | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2006-06-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37419 |
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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.