| 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 | Minerva B Covarrubias |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306993290 PECOS PAC ID: 4587755186 Enrollment ID: I20070810000802 |
| Provider Name | Ana Cornea |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275522195 PECOS PAC ID: 0648364711 Enrollment ID: I20070919001013 |
| Provider Name | Eugene H Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609865088 PECOS PAC ID: 3274627344 Enrollment ID: I20070919001016 |
| Provider Name | Dabney James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380562 PECOS PAC ID: 3678669488 Enrollment ID: I20071009000926 |
| 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 | 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 | 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 | Nathan S Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851705222 PECOS PAC ID: 9234451337 Enrollment ID: I20141126001757 |
| Provider Name | Adam M Caputo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114160678 PECOS PAC ID: 0941424766 Enrollment ID: I20150930002270 |
| Provider Name | Magdalena Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037556 PECOS PAC ID: 1254615156 Enrollment ID: I20170221000403 |
| 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 | Mary W Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652643 PECOS PAC ID: 0345500054 Enrollment ID: I20180126002265 |
| Provider Name | Justin L Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364496 PECOS PAC ID: 9638424633 Enrollment ID: I20180614002909 |
| Provider Name | Cynthia L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120677 PECOS PAC ID: 7113276809 Enrollment ID: I20180813003528 |
| Provider Name | Eric L Emanski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518233501 PECOS PAC ID: 9436439080 Enrollment ID: I20191231002387 |
| Provider Name | Varenda C Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815484 PECOS PAC ID: 9436382736 Enrollment ID: I20200128002140 |
| Provider Name | Reglindis Rose Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881171627 PECOS PAC ID: 1254761984 Enrollment ID: I20200421002658 |
| Provider Name | Candace S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619595147 PECOS PAC ID: 7113343492 Enrollment ID: I20200817003890 |
| Provider Name | Madeline Brooke Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733587 PECOS PAC ID: 9234541160 Enrollment ID: I20201216002903 |
| 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 | Bao-thuy Hoang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467610089 PECOS PAC ID: 4385950229 Enrollment ID: I20230707002172 |
| Provider Name | Mitchell Eton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689358830 PECOS PAC ID: 8628438652 Enrollment ID: I20230721001129 |
| 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 |
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 | |
Carestar Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6106 Shallowford Rd, Suite 108, Chattanooga, TN 37421 Phone: 423-760-8700 Fax: 423-760-8703 | |
Chattanooga Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421 Phone: 281-429-8526 |