DR. JOHN GEORGE HEISE (NPI# 1962405787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962405787 |
Entity Type | Individual |
Full Name | DR. JOHN GEORGE HEISE |
Credential | MD |
Practice Address |
900 E 3rd St Chattanooga TN 37403-2101 |
Practice Telephone | 4237785437 |
Practice Fax Number | 4237787507 |
Mailing Telephone | 4237785437 |
Mailing Fax Number | 4237787507 |
Enumeration Date | 2005-05-24 |
Last Update Date | 2019-01-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD25694 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q005887 | 05 |
Street Address |
900 E 3RD ST |
City | CHATTANOOGA |
State | TN |
Zip Code | 37403-2101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851928758 | Heather Magee | Registered Nurse | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2020-03-23 |
1003335688 | Lauren Fox | Nurse Practitioner | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2017-09-14 |
1194130930 | Christine Denton | Pediatrics | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2014-06-30 |
1023457181 | Alexia Flangini | Psychiatry & Neurology | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2013-06-21 |
1841532900 | Adam John Vanmason | Pediatrics | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2013-03-26 |
1477614246 | Amy Marie Wells | Pediatrics | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2006-12-13 |
1205892353 | Bettina Ault | Pediatrics | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2006-04-25 |
1760462261 | Wendell Moses | Orthopaedic Surgery | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
Find all providers in zip 37403 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
1063597979 | James Langston Cowan IIi | Pediatrics | 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 | 2006-10-26 |
1164511085 | Svetlana Yanishevski | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-11 |
1922190875 | Joseph Raoul Morin Jr. | Pediatrics | 698 Clinchfield St, Kingsport, TN 37660-3630 | 2006-09-29 |
1518073550 | Lea Ann Lund | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2006-08-22 |
1790710168 | Kristin Michele Rager | Pediatrics | 801 Woodland St, Nashville, TN 37206 | 2006-07-12 |
1376596452 | Susan C Brewer | Pediatrics | 142 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-05-18 |
1790735124 | Tamara P Folz | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2006-05-10 |
1376513721 | Landon S Combs | Pediatrics | 115 Judge Gresham Rd, Suite B, Gray, TN 37615-6213 | 2006-01-26 |
1871575340 | Eric R Prenshaw | Pediatrics | 1800 Volunteer Blvd, Knoxville, TN 37996-3102 | 2005-11-18 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37403 |
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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.