TARECK A. KADRIE, M.D., PLLC (NPI# 1952574931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952574931 |
| Entity Type | Organization |
| Organization Name | TARECK A. KADRIE, M.D., PLLC |
| Practice Address |
721 Glenwood Dr Suite 467 West Chattanooga TN 37404-1106 |
| Practice Telephone | 4236983423 |
| Practice Fax Number | 4236981380 |
| Mailing Telephone | 4236983423 |
| Mailing Fax Number | 4236981380 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | TARECK ALI KADRIE (PRESIDENT) |
| Authorized Official Telephone | 4236983423 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
37212 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
721 GLENWOOD DR SUITE 467 WEST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486839 | John L Gwin Jr. | Specialist | 721 Glenwood Dr, Suite 553, Chattanooga, TN 37404-1106 | 2005-09-07 |
| 1962848713 | Kadrie Partners | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2013-05-21 |
| 1487901278 | Cannon & Cannon Medical, Pllc | Internal Medicine | 721 Glenwood Dr, Suite W-462, Chattanooga, TN 37404-1149 | 2012-08-10 |
| 1396989786 | Nathan Brantley Wyatt | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467, Chattanooga, TN 37404-1106 | 2009-04-29 |
| 1205012234 | Stacy Lynn Park | Nurse Practitioner | 721 Glenwood Dr, Suite 462a, Chattanooga, TN 37404-1106 | 2008-01-22 |
| 1104017607 | Gi Consultants, PC | Internal Medicine | 721 Glenwood Dr, Ste. W552, Chattanooga, TN 37404-1106 | 2007-08-08 |
| 1881885960 | Douglas L. Vanderbilt, M.d.,p.c. | Surgery | 721 Glenwood Dr, Memorial Medical Bldg., West Suite 470, Chattanooga, TN 37404-1106 | 2007-08-05 |
| 1528184744 | Chattanooga Surgical Oncology and Associates, Pllc | Surgery | 721 Glenwood Dr, Suite 471w, Chattanooga, TN 37404-1106 | 2007-03-21 |
| 1740339936 | Alan F. Shikoh, M.d., P.c | Internal Medicine | 721 Glenwood Dr, Suite W473, Chattanooga, TN 37404-1106 | 2007-01-09 |
| 1609946748 | Robert M. Barnett, IIi, Md | Surgery | 721 Glenwood Dr, Suite W460, Chattanooga, TN 37404-1106 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720662 | Discover Diagnostic Laboratory, LLC | Psychiatry & Neurology | 702 S Illinois Ave, Suite B-104, Oak Ridge, TN 37830-7908 | 2014-08-20 |
| 1346470515 | Real Time Neuromonitoring Associates, Pllc | Psychiatry & Neurology | 3004b Poston Ave, Nashville, TN 37203-1314 | 2009-07-21 |
| 1891035606 | Neurology Consults, P.C. | Psychiatry & Neurology | 300 Stonecrest Blvd, Suite 260, Smyrna, TN 37167-5688 | 2013-02-15 |
| 1992950166 | Shazia Kamran | Psychiatry & Neurology | 3443 Dickerson Pike, Suite 580, Nashville, TN 37207-2519 | 2008-12-01 |
| 1568559672 | Andre Lagrange | Psychiatry & Neurology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1275501728 | Berta M Bergia | Psychiatry & Neurology | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2006-03-10 |
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on TARECK A. KADRIE, M.D., PLLC.
| 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.