PETER ROGER DEVERSA MD PLLC (NPI# 1902102502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902102502 |
| Entity Type | Organization |
| Organization Name | PETER ROGER DEVERSA MD PLLC |
| Practice Address |
709 Walnut St Chattanooga TN 37402-1916 |
| Mailing Address |
979 E 3rd St Suite B-1001 Chattanooga TN 37403-2136 |
| Practice Telephone | 4236432576 |
| Mailing Telephone | 4236432576 |
| Mailing Fax Number | 4236484570 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | PETER ROGER DEVERSA (SOLE MEMBER) |
| Authorized Official Telephone | 4238020607 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
709 WALNUT ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427127463 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 709 Walnut St, Chattanooga, TN 37402-1916 | 2006-11-06 |
| 1275003295 | Informe Healthcare Tn, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2018-12-03 |
| 1245706746 | Ceob Medical Consulting, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2018-10-23 |
| 1265954424 | In Charge Medical Professionals Tn,pc | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402 | 2017-07-10 |
| 1750759007 | Michael Christopher Conley | Nurse Practitioner | 709 Walnut St, Chattanooga, TN 37402 | 2015-09-03 |
| 1194148007 | Kayla Exum | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2014-01-28 |
| 1548563406 | Midtown Healthcare, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2010-12-15 |
| 1356670947 | Knd Development, 59 LLC | Hospitalist | 709 Walnut St, Chattanooga, TN 37402-1916 | 2009-12-10 |
| 1326289299 | Internal Medicine Associates of Chattanooga, Pllc | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2009-03-23 |
| 1306001995 | Olufunke Marian Akinlaja | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982803292 | Srikanth Seethala | Hospitalist | 960 E 3rd St Ste 200, Chattanooga, TN 37403-2134 | 2007-07-16 |
| 1255452363 | Marina Grigorian | Hospitalist | 2525 De Sales Ave., Memorial Hospital, Chattanooga, TN 37404-1161 | 2007-04-03 |
| 1104307693 | Mdp Management LLC | Hospitalist | 1067 Riverfront Pkwy Ste 201, Chattanooga, TN 37402-2222 | 2018-08-23 |
| 1366896870 | Ryan Ying Ming Lam | Hospitalist | 975 E 3rd St, Chattanooga, TN 37403 | 2016-04-20 |
| 1407283047 | Robert M Magill, Md Pllc | Hospitalist | 7047 Lee Hwy, Suite 101, Chattanooga, TN 37421-1793 | 2013-09-27 |
| 1831536036 | John Jerome Ekong | Hospitalist | 2525 Desales Avenue, Chattanooga, TN 37404 | 2013-05-29 |
| 1255611760 | Sarita Kandel Sapkota | Hospitalist | 975 E 3rd St, Attn: University Hospitalists, Chattanooga, TN 37403-2147 | 2011-08-29 |
| 1255622197 | Amy Elizabeth Walthour | Hospitalist | 975 E 3rd St, Attn: University Hospitalists, Chattanooga, TN 37403-2147 | 2011-04-26 |
| 1356670947 | Knd Development, 59 LLC | Hospitalist | 709 Walnut St, Chattanooga, TN 37402-1916 | 2009-12-10 |
| 1639335839 | Avni Sagar Kapadia | Hospitalist | 2525 Desales Avenue, Chattanooga, TN 37404-1161 | 2008-08-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
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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.