NPIMap

Organization Active NPI

Sentef Medical Center

  • Clinic/Center
  • Ooltewah, TN
National Provider Identifier
1043418742
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SENTEF MEDICAL CENTER
Practice address
9380 Bradmore LN Ste 104
Ooltewah, TN 37363-4447
Phone
(423) 760-4630
Fax
(423) 760-4631
NPI assigned
Jul 5, 2007
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeremy Plaster
Title
Practice Manager
Phone
(237) 604-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

9380 Bradmore LN Ste 104
Ooltewah, TN 37363-4447

Mailing address

9380 Bradmore LN Ste 104
Ooltewah, TN 37363-4447
Phone (423) 760-4630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000359 TN Part B Supplier - Clinic/Group Practice 6204094170 Receives reassigned benefits from 6 practitioners
Practice locations: Chattanooga, TN; Ooltewah, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1043418742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN STE 104",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634447",
            "telephone_number": "423-760-4630",
            "fax_number": "423-760-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN STE 104",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634447",
            "telephone_number": "423-760-4630",
            "fax_number": "423-760-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTEF MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "PLASTER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "237-604-6304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.