FAMILY MEDICAL PROVIDERS, PLLC (NPI# 1871140475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871140475 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL PROVIDERS, PLLC |
| Practice Address |
3496 Brainerd Rd Chattanooga TN 37411-3532 |
| Mailing Address |
Po Box 93 Signal Mountain TN 37377-0093 |
| Practice Telephone | 4232438196 |
| Mailing Telephone | 4232438196 |
| Mailing Fax Number | 7064062922 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | DR. PAUL ANTHONY MIRANDA (OWNER) |
| Authorized Official Telephone | 4232438196 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 88 Stuart Rd Ste 88, Fort Oglethorpe, GA 307424047 | 4235215404 |
| Street Address |
3496 BRAINERD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940538 | Hamilton Family Medicine, Pllc | Family Medicine | 2290 Ogletree Ave, Chattanooga, TN 37421-8816 | 2018-01-23 |
| 1922461698 | Jordan L Kim | Family Medicine | 320 E Main St Ste 200, Chattanooga, TN 37408-1609 | 2016-03-31 |
| 1659752764 | Chen Wang | Family Medicine | 1848 Rossville Ave, Chattanooga, TN 37408-1932 | 2015-06-15 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1205107935 | Azam H Sohi | Family Medicine | 2333mccallie Avenue, Chattanooga, TN 37404 | 2012-01-26 |
| 1477844553 | Philip Anthony Sutherland | Family Medicine | 1300 E 23rd St, Chattanooga, TN 37404-5701 | 2011-04-25 |
| 1851540694 | Christopher Timothy Moore | Family Medicine | 3914 Saint Elmo Ave, Chattanooga, TN 37409-1268 | 2008-09-17 |
| 1417106279 | Rapid Care Group Inc | Family Medicine | 711 Signal Mountain Rd Ste 169, Auite, Chattanooga, TN 37405-1823 | 2008-09-16 |
| 1366698755 | Lisa Fara | Family Medicine | 7030 Lee Hwy Ste 201, Chattanooga, TN 37421-6795 | 2008-08-18 |
| 1760645113 | Matthew Ray Hitchcock | Family Medicine | 3875 Hixson Pike, Chattanooga, TN 37415-3563 | 2008-07-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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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.