Carestar Medical Associates

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CARESTAR MEDICAL ASSOCIATES

Practice address

6106 Shallowford Rd
Suite 108
Chattanooga, TN 37421-2239

Phone

(423) 760-8700

Fax

(423) 760-8703

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Phillip Bannor, M.D.

Title

Owner

Phone

(423) 760-8700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1043667686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-760-8700",
            "fax_number": "423-760-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-760-8700",
            "fax_number": "423-760-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAR MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "BANNOR",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-760-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care 1St Medical Solutions Inc
• Care Focus, Inc.
• Careassist, Inc.
• Carecenter Pharmacy, L.L.C.
• Carestar Health Associates LLC
• Carestar Medical Partners LLC
• Carestar Pharmacy
• Alicia Levering Carico
• Paul Herman Carico III, DDS
• Paul Herman Carico Jr., DDS

• Pain Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.