SAMUEL L BANKS (NPI# 1801995329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801995329 |
| Entity Type | Individual |
| Full Name | SAMUEL L BANKS |
| Credential | MD |
| Practice Address |
6141 Shallowford Road Chattanooga TN 37421 |
| Practice Telephone | 4238992700 |
| Practice Fax Number | 4238992703 |
| Mailing Telephone | 4238992700 |
| Mailing Fax Number | 4238992703 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD0000008093 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 2006120 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568460 | Samuel Banks | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2018-11-27 |
| Street Address |
6141 SHALLOWFORD ROAD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881769305 | Kathrin Khatereh Nunes | Physician Assistant | 6141 Shallowford Road, Chattanooga, TN 37421 | 2006-11-21 |
| 1972689164 | F Hall Reynolds | Dermatology | 6141 Shallowford Road, Chattanooga, TN 37421 | 2006-10-31 |
| 1447343694 | Chattanooga Skin & Cancer Clinic | Dermatology | 6141 Shallowford Road, Chattanooga, TN 37421 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568739506 | Clay M. Pickard M.d. P.C. | Dermatology | 744 Mccallie Ave, Suite 427, Chattanooga, TN 37403-2527 | 2011-11-18 |
| 1831480524 | Christopher Lowe | Dermatology | 1720 Gunbarrel Rd Ste 410, Chattanooga, TN 37421-3192 | 2011-04-28 |
| 1730405754 | Brandon Brown | Dermatology | 1635 Gunbarrel Road, Suite 400, Chattanooga, TN 37421 | 2010-04-15 |
| 1134651128 | Austin Greenwood | Dermatology | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2017-03-30 |
| 1528509825 | Lana Beth Goodman | Dermatology | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2017-03-20 |
| 1669891883 | Laura Crawford Cleary | Dermatology | 1635 Gunbarrel Road, Suite 400, Chattanooga, TN 37421 | 2014-04-15 |
| 1255774238 | Mary Kathleen Shuster | Dermatology | 1720 Gunbarrel Rd Ste 410, Chattanooga, TN 37421-4144 | 2013-04-09 |
| 1972848620 | Chattanooga Hamilton County Hospital Authority | Dermatology | 975 E 3rd St, Suite A-445, Chattanooga, TN 37403-2147 | 2012-12-06 |
| 1639346448 | Cara Freeland Hennings | Dermatology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2008-05-12 |
| 1972689164 | F Hall Reynolds | Dermatology | 6141 Shallowford Road, Chattanooga, TN 37421 | 2006-10-31 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.