Individual provider Active NPI

H Joseph Lantz, MD

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1093780546
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000021123 Issued in TN
Practice address
1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137
Phone
(423) 778-8582
Fax
(423) 778-8594
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000021123 TN Primary

Addresses

Primary practice location

1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137

Mailing address

1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137
Phone (423) 778-8582

Other identifiers 2

IdentifierTypeStateIssuer
3057597MedicaidTN
00448478AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000066 TN Practitioner - Otolaryngology 6608064902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Skin and Cancer ClinicGroup PAC ID 9032386354, 13 clinicians

Practice addresses (Care Compare)

6061 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 899-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000021123TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Skin & Cancer Clinic CurrentSince Jan 1, 2021 Accepting new patients

Locations

6061 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

3891 Adkisson Dr NW
Cleveland, TN 37312
Phone (423) 479-8648

980 Highway 28
Ste 203
Jasper, TN 37347
Phone (423) 298-5605

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1093780546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8582",
            "fax_number": "423-778-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8582",
            "fax_number": "423-778-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "H",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000021123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057597",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00448478A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.