Active NPI
MDP Management LLC
- Hospitalist Physician
- Chattanooga, TN
National Provider Identifier
1104307693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MDP MANAGEMENT LLC
- Practice address
- 1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222 - Phone
- (423) 602-9530
- Fax
- (423) 602-9529
- NPI assigned
- Aug 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misti Michelle Bowers, MSN
- Title
- VP of Operations
- Phone
- (423) 778-5179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222
Mailing address
1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222
Phone (423) 602-9530
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1104307693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 RIVERFRONT PKWY STE 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022222",
"telephone_number": "423-602-9530",
"fax_number": "423-602-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 RIVERFRONT PKWY STE 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022222",
"telephone_number": "423-602-9530",
"fax_number": "423-602-9529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDP MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "BOWERS",
"authorized_official_first_name": "MISTI",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "423-778-5179",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.