Organization Active NPI

Associates in General Surgery, LLC

  • Medical Specialty Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1104958487
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
43386 Issued in GA
Legal business name
ASSOCIATES IN GENERAL SURGERY, LLC
Practice address
721 Glenwood Dr.
Suite W-462
Chattanooga, TN 37404
Phone
(423) 362-4554
Fax
(423) 362-4550
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Daniel L. Heithold, MD
Title
Owner
Phone
(423) 362-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 43386 GA Primary

Addresses

Primary practice location

721 Glenwood Dr.
Suite W-462
Chattanooga, TN 37404

Mailing address

PO Box 867
Chattanooga, TN 37401-0867
Phone (423) 362-4554

National Provider Directory

National Provider Directory

Locations

721 Glenwood Dr
Ste 462
Chattanooga, TN 37404
Phone (423) 624-2611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1104958487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374010867",
            "telephone_number": "423-362-4554",
            "fax_number": "423-362-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR.",
            "address_2": "SUITE W-462",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-362-4554",
            "fax_number": "423-362-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GENERAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "HEITHOLD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-362-4554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "43386",
            "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, 2014; 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.