| Informe Healthcare Tn, Llc | |
|
709 Walnut St Chattanooga TN 37402-1916 | |
| (423) 266-7721 | |
| Not Available |
| Full Name | Informe Healthcare Tn, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 709 Walnut St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jodi M Czernejewski (OWNER) |
| Authorized Official Contact | 4142425468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informe Healthcare Tn, Llc 2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 Ph: (414) 242-5468 | Informe Healthcare Tn, Llc 709 Walnut St Chattanooga TN 37402-1916 Ph: (423) 266-7721 |
| NPI Number | 1275003295 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 0244579290 |
|---|---|
| Medicare Enrollment ID | O20190308001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275003295 | NPI | - | NPPES |
| Q045823 | Medicaid | TN |
| Provider Name | Bonnie Fry Randolph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497756258 PECOS PAC ID: 0648253211 Enrollment ID: I20040612000674 |
| Provider Name | Earl V Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066341 PECOS PAC ID: 6305820168 Enrollment ID: I20040617000968 |
| Provider Name | Sameh S Naguib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568415685 PECOS PAC ID: 9234100876 Enrollment ID: I20040805000547 |
| Provider Name | Naved M Mohyuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417951278 PECOS PAC ID: 2860427408 Enrollment ID: I20051003000103 |
| Provider Name | Naveed H Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386609055 PECOS PAC ID: 4688572795 Enrollment ID: I20060503000599 |
| Provider Name | Anthony L Cabrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316984008 PECOS PAC ID: 8426052614 Enrollment ID: I20060830000364 |
| Provider Name | Jaime E Montoya Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083711535 PECOS PAC ID: 8820190879 Enrollment ID: I20070222000577 |
| Provider Name | Patrick B Mcginty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114074267 PECOS PAC ID: 4082712161 Enrollment ID: I20070613000615 |
| Provider Name | Rene V Aguirre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043367931 PECOS PAC ID: 7113097940 Enrollment ID: I20080604000730 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588949465 PECOS PAC ID: 8022267277 Enrollment ID: I20121003000105 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720338023 PECOS PAC ID: 9133370976 Enrollment ID: I20121105000058 |
| Provider Name | Katherine M Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154764041 PECOS PAC ID: 5799923140 Enrollment ID: I20130524000515 |
| Provider Name | Brittany Ledford Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477972719 PECOS PAC ID: 7719110337 Enrollment ID: I20140507000315 |
| Provider Name | Tokunbo T Akinleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851797625 PECOS PAC ID: 9436474939 Enrollment ID: I20150204000267 |
| Provider Name | Bridget D Hurt-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285971366 PECOS PAC ID: 6406169465 Enrollment ID: I20150720002175 |
| Provider Name | Jason Andrew Kilmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435551 PECOS PAC ID: 2365751187 Enrollment ID: I20151019001142 |
| Provider Name | Bethany Aaron White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395264 PECOS PAC ID: 1557642642 Enrollment ID: I20170104000383 |
| Provider Name | Raul Vasquez Garagatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518283522 PECOS PAC ID: 7719133412 Enrollment ID: I20171028000208 |
| Provider Name | Amanda Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760649800 PECOS PAC ID: 6800929480 Enrollment ID: I20171108001645 |
| Provider Name | Samantha Nicole Lansford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407377641 PECOS PAC ID: 6204194988 Enrollment ID: I20180102000194 |
| Provider Name | Mohammed Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815399 PECOS PAC ID: 5799057691 Enrollment ID: I20190701002480 |
| Provider Name | Hairline Sylvestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215519186 PECOS PAC ID: 7517369606 Enrollment ID: I20210712004214 |
| Provider Name | Tricia L Scheuneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447289913 PECOS PAC ID: 9234153677 Enrollment ID: I20211213000869 |
| Provider Name | Lindsay Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053581124 PECOS PAC ID: 4981896867 Enrollment ID: I20211228001102 |
| Provider Name | Aundrea Nicole Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003411885 PECOS PAC ID: 6608244017 Enrollment ID: I20221116000601 |
| Provider Name | Keith Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548677461 PECOS PAC ID: 6901120831 Enrollment ID: I20231018002552 |
| Provider Name | Kimberly Nicole Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538876909 PECOS PAC ID: 1456794726 Enrollment ID: I20240205000862 |
| Provider Name | Laura Smallcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093200941 PECOS PAC ID: 8628321320 Enrollment ID: I20240408000913 |
| Provider Name | Daniel Alejandro Carranza Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326676990 PECOS PAC ID: 1850747262 Enrollment ID: I20240722000799 |
| Provider Name | Preeti Saran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417119728 PECOS PAC ID: 5092852053 Enrollment ID: I20241203001886 |
| Provider Name | Quang Le Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932631520 PECOS PAC ID: 8224388095 Enrollment ID: I20250501000346 |
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