MR. DENNIS C. MATZKIN (NPI# 1912968371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912968371 |
| Entity Type | Individual |
| Full Name | MR. DENNIS C. MATZKIN |
| Credential | M.D. |
| Practice Address |
7405 Shallowford Road Suite 400 Chattanooga TN 37421 |
| Practice Telephone | 4238558522 |
| Practice Fax Number | 4238558533 |
| Mailing Telephone | 4238558522 |
| Mailing Fax Number | 4238558533 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 49461 | TN | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 039169 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1530465 | 05 | |
| GA | 000639933I | 05 |
| Street Address |
7405 SHALLOWFORD ROAD SUITE 400 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245280023 | Jaime Ponce Portugal, Md | Surgery | 7405 Shallowford Road, Suite 160, Chattanooga, TN 37421 | 2006-05-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1952646176 | Harvey A Jacobs | Ophthalmology | 608 Swansons Ridge Rd, Chattanooga, TN 37421-4500 | 2012-11-28 |
| 1265798839 | Alliance Eye Care Pllc | Ophthalmology | 7405 Shallowford Rd Ste 420, Chattanooga, TN 37421-2662 | 2012-04-07 |
| 1942315866 | Pe Than Tin Md PC | Ophthalmology | 930 Oak St, Chattanooga, TN 37403-2410 | 2006-08-20 |
| 1538187224 | Caroline K. Elias | Ophthalmology | 3898 Hixson Pike, Chattanooga, TN 37415-3562 | 2006-07-18 |
| 1659319010 | Paula Christine Nicola | Ophthalmology | 979 E 3rd St Ste 240, Chattanooga, TN 37403-2136 | 2006-06-04 |
| 1346228426 | Courtney Webb Ridner | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-01-09 |
| 1841288131 | David L. Friedrich | Ophthalmology | 2120 Northgate Park Lane, Suite 102, Chattanooga, TN 37415-6937 | 2005-10-11 |
| 1992702021 | Elizabeth D Mabry | Ophthalmology | 1210 Premier Dr Ste 110, The Pointe, Chattanooga, TN 37421-3747 | 2005-07-05 |
| 1275539975 | Steven M Thomas | Ophthalmology | 632 Morrison Springs Rd, Ste 301, Chattanooga, TN 37415-3402 | 2005-06-27 |
| 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.