DR. JOHN J SILLERY (NPI# 1992914105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992914105 |
| Entity Type | Individual |
| Full Name | DR. JOHN J SILLERY |
| Credential | D.O. |
| Practice Address |
2525 Desales Avenue Chattanooga TN 37404 |
| Mailing Address |
725 Glenwood Drive Suite E-487 Chattanooga TN 37404 |
| Practice Telephone | 4236970014 |
| Practice Fax Number | 4236486280 |
| Mailing Telephone | 4236970014 |
| Mailing Fax Number | 4236486280 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DO2047 | TN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OS014183 | PA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | D0065121 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1514496 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699752709 | John C Sillery | Radiology | 2800 10th Ave N, Billings, MT 59101-0703 | 2005-12-29 |
| Street Address |
2525 DESALES AVENUE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192994 | David C Bosshardt | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2005-08-25 |
| 1831509132 | Julia Walker Henry | Nurse Practitioner | 2525 Desales Avenue, Chattanooga, TN 37404 | 2014-05-07 |
| 1225456288 | Aaron Kristoffer Blakeney | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2014-04-06 |
| 1609294164 | Mark Taylor Jones | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2014-04-02 |
| 1023458403 | Tennessee Cancer Specialists | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37414-1102 | 2013-06-28 |
| 1831536036 | John Jerome Ekong | Hospitalist | 2525 Desales Avenue, Chattanooga, TN 37404 | 2013-05-29 |
| 1174897821 | Robert L. Mcvie | Nurse Practitioner | 2525 Desales Avenue, Chattanooga, TN 37404 | 2012-02-28 |
| 1144597600 | Melinda Ruth Helton | Nurse Practitioner | 2525 Desales Avenue, Chattanooga, TN 37415 | 2011-11-28 |
| 1689959561 | Nicholas J Pons | Physician Assistant | 2525 Desales Avenue, Chattanooga, TN 37404 | 2011-10-11 |
| 1811283831 | James E. Gilbert II | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2011-06-28 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| 1831321553 | John R Mcgauley Jr. | Emergency Medicine | 3134 Waterfront Dr, Chattanooga, TN 37419-1535 | 2009-08-13 |
| 1962645812 | Jason Christopher Nicely | Emergency Medicine | 9425 Shadow Point Cir, Chattanooga, TN 37421-5372 | 2009-04-08 |
| 1952580599 | Nia Malene Foderingham | Emergency Medicine | 9029 Jenny Lynn Dr, Chattanooga, TN 37421-4595 | 2007-10-31 |
| 1790988582 | Joseph B Sobel | Emergency Medicine | 1 Cameron Hill Cir, Chattanooga, TN 37402-9815 | 2007-06-08 |
| 1821203357 | Joshua Dean Murphy | Emergency Medicine | 8507 Creek Stone Dr, Chattanooga, TN 37421-2739 | 2007-05-10 |
| 1164510186 | Timothy R Todd | Emergency Medicine | 9216 Royal Mountain Dr, Chattanooga, TN 37421-7405 | 2006-10-11 |
| 1124063177 | Robert Anthony Hill | Emergency Medicine | 3167 Elmendorf Cir, City of Chattanooga Welladvantage Wellness Center, Chattanooga, TN 37406-4004 | 2006-06-16 |
| 1669413415 | Susan Leslie Vergot | Emergency Medicine | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2006-06-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.