| Faraday Chattanooga Pc | |
|
6031 Shallowford Rd Ste 113 Chattanooga TN 37421-1984 | |
| (423) 825-8500 | |
| (800) 878-9297 |
| Full Name | Faraday Chattanooga Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6031 Shallowford Rd Ste 113, Chattanooga, Tennessee |
| Authorized Official Name and Position | Loring Helfrich (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4238258500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faraday Chattanooga Pc 6031 Shallowford Rd Ste 113 Chattanooga TN 37421-1984 Ph: () - | Faraday Chattanooga Pc 6031 Shallowford Rd Ste 113 Chattanooga TN 37421-1984 Ph: (423) 825-8500 |
| NPI Number | 1073165254 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9931431665 |
|---|---|
| Medicare Enrollment ID | O20191030002452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073165254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cynthia Rector |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942276829 PECOS PAC ID: 5395719975 Enrollment ID: I20040820000076 |
| Provider Name | Richard F Mauroner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992813976 PECOS PAC ID: 1850340589 Enrollment ID: I20050921000997 |
| Provider Name | Michael Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790906436 PECOS PAC ID: 6002917556 Enrollment ID: I20070727000171 |
| Provider Name | Sricharan Moturi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346459351 PECOS PAC ID: 2769533058 Enrollment ID: I20101117000879 |
| Provider Name | Angela L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053387977 PECOS PAC ID: 2860454741 Enrollment ID: I20110215000616 |
| Provider Name | Kevin R Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164530036 PECOS PAC ID: 1456510189 Enrollment ID: I20120315000280 |
| Provider Name | Stephan Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063678795 PECOS PAC ID: 2062660921 Enrollment ID: I20120918000616 |
| Provider Name | Martha Katherine Rumble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547201 PECOS PAC ID: 5496184467 Enrollment ID: I20200326003931 |
| Provider Name | Trudylee Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089161 PECOS PAC ID: 9032549944 Enrollment ID: I20200416002855 |
| Provider Name | Aubrey Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144004185 PECOS PAC ID: 6800247099 Enrollment ID: I20240112000354 |
| Provider Name | Pamela A Bende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154159887 PECOS PAC ID: 0446788251 Enrollment ID: I20250107003588 |
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