| Spine And Joint Regenerative Medicine Pc | |
|
6711 Mountain View Rd Ste 115 Ooltewah TN 37363-6667 | |
| (423) 541-7700 | |
| Not Available |
| Full Name | Spine And Joint Regenerative Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6711 Mountain View Rd Ste 115, Ooltewah, Tennessee |
| Authorized Official Name and Position | Christopher Lewis (OWNER) |
| Authorized Official Contact | 7065813465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Joint Regenerative Medicine Pc 6711 Mountain View Rd Ste 115 Ooltewah TN 37363-6667 Ph: (423) 541-7700 | Spine And Joint Regenerative Medicine Pc 6711 Mountain View Rd Ste 115 Ooltewah TN 37363-6667 Ph: (423) 541-7700 |
| NPI Number | 1588255319 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Medicare PECOS PAC ID | 1759796600 |
|---|---|
| Medicare Enrollment ID | O20210226001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588255319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher M Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508940990 PECOS PAC ID: 5496641805 Enrollment ID: I20060404000177 |
| Provider Name | Sandra Kuffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801055751 PECOS PAC ID: 4587737119 Enrollment ID: I20080715000775 |
| Provider Name | Syed Ahmed Naseeruddin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760599575 PECOS PAC ID: 4981754017 Enrollment ID: I20090611000543 |
| Provider Name | Tammy Michelle Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912619396 PECOS PAC ID: 0345782777 Enrollment ID: I20240612003662 |
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