Organization Active NPI

MDP Management LLC

  • Hospitalist Physician
  • Chattanooga, TN
National Provider Identifier
1104307693
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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

Updated by the provider on Oct 23, 2019

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.