| Diagnostic Center | |
|
2205 Mccallie Ave Chattanooga TN 37404-3230 | |
| (423) 698-2435 | |
| (423) 697-6110 |
| Full Name | Diagnostic Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2205 Mccallie Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jeff Rydburg (VICE PRESIDENT) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Center 2205 Mccallie Ave Chattanooga TN 37404-3230 Ph: (423) 698-2435 | Diagnostic Center 2205 Mccallie Ave Chattanooga TN 37404-3230 Ph: (423) 698-2435 |
| NPI Number | 1679772099 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 9739272519 |
|---|---|
| Medicare Enrollment ID | O20070910000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679772099 | NPI | - | NPPES |
| 3370099 | Medicaid | TN |
| Provider Name | Donna W Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851332274 PECOS PAC ID: 6305898453 Enrollment ID: I20050216000821 |
| Provider Name | Benjamin Ray Plahtinsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962426551 PECOS PAC ID: 1153363650 Enrollment ID: I20061019000276 |
| Provider Name | Stephen L Martin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699762146 PECOS PAC ID: 1153224100 Enrollment ID: I20080326000311 |
| Provider Name | Richard G Pearce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619942091 PECOS PAC ID: 7012096829 Enrollment ID: I20080506000095 |
| Provider Name | David a Wiles |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851338628 PECOS PAC ID: 6406826130 Enrollment ID: I20080814000408 |
| Provider Name | Patricia D Blasick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003072059 PECOS PAC ID: 3173699204 Enrollment ID: I20080913000095 |
| Provider Name | Martin Harry Redish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922096387 PECOS PAC ID: 2163599960 Enrollment ID: I20101123000682 |
| Provider Name | Angelia Denise Winton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023345352 PECOS PAC ID: 0840487229 Enrollment ID: I20101210000573 |
| Provider Name | Matthew S Bernard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164632626 PECOS PAC ID: 5496870545 Enrollment ID: I20110719000818 |
| Provider Name | Ryan S Gilliand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548348980 PECOS PAC ID: 8224097670 Enrollment ID: I20120615000519 |
| Provider Name | Jennifer Ayers Mirza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659564474 PECOS PAC ID: 2365505468 Enrollment ID: I20130107000060 |
| Provider Name | Alexander G Roberts |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205157591 PECOS PAC ID: 0042453425 Enrollment ID: I20130904000485 |
| Provider Name | Ahmed a Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407188626 PECOS PAC ID: 4082848148 Enrollment ID: I20131004000233 |
| Provider Name | Danielle L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780077438 PECOS PAC ID: 1355660994 Enrollment ID: I20150504002330 |
| Provider Name | Matthew D Higgins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629205752 PECOS PAC ID: 9133365745 Enrollment ID: I20150729010094 |
| Provider Name | Adam M Caputo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114160678 PECOS PAC ID: 0941424766 Enrollment ID: I20150930002270 |
| Provider Name | Kristopher C Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730405531 PECOS PAC ID: 9537305164 Enrollment ID: I20160727002580 |
| Provider Name | Caitlin a Kerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114458619 PECOS PAC ID: 4789953910 Enrollment ID: I20170703001059 |
| Provider Name | Christopher D Pankiw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558667089 PECOS PAC ID: 4587800198 Enrollment ID: I20171110001904 |
| Provider Name | Matthew D Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894978 PECOS PAC ID: 1355699414 Enrollment ID: I20180806001932 |
| Provider Name | Cynthia L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120677 PECOS PAC ID: 7113276809 Enrollment ID: I20180813003528 |
| Provider Name | Candace S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619595147 PECOS PAC ID: 7113343492 Enrollment ID: I20200817003890 |
| Provider Name | Kelsey Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803756 PECOS PAC ID: 3274959390 Enrollment ID: I20200819001748 |
| Provider Name | Madeline Brooke Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733587 PECOS PAC ID: 9234541160 Enrollment ID: I20201216002903 |
| Provider Name | Miller a Earhart Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619587581 PECOS PAC ID: 7012326945 Enrollment ID: I20210506000078 |
| Provider Name | Noah Schussler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740716265 PECOS PAC ID: 2769751346 Enrollment ID: I20210831001122 |
| Provider Name | Marissa L Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235887340 PECOS PAC ID: 3274920954 Enrollment ID: I20220427001960 |
| Provider Name | Annette Marie Svendsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902561699 PECOS PAC ID: 4183011596 Enrollment ID: I20220503000934 |
| Provider Name | Cari Alexandria Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093347635 PECOS PAC ID: 3173900826 Enrollment ID: I20220518001006 |
| Provider Name | Michael Keith Mclean |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831276468 PECOS PAC ID: 1153307566 Enrollment ID: I20230424001823 |
| Provider Name | Jared Sheldon Penner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235817529 PECOS PAC ID: 1052765450 Enrollment ID: I20231003001801 |
| Provider Name | Katherine Grace Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891560736 PECOS PAC ID: 7517302581 Enrollment ID: I20240229001273 |
| Provider Name | J.tyler Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285929703 PECOS PAC ID: 7618146259 Enrollment ID: I20241030003135 |
| Provider Name | Graham Albert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659834083 PECOS PAC ID: 8820322365 Enrollment ID: I20251001000073 |
Terry W. Smith M.D., P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 |
Benchmark PT Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 |
Bryn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 |
Drs Kemp and Avitabile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 |