Organization Active NPI

Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1235105255
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC ASSOCIATES, PC
Practice address
979 E 3Rd St
Ste C-220
Chattanooga, TN 37403-3314
Phone
(423) 267-4585
Fax
(423) 756-1307
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mrs. Reba Diane Stewart
Title
Medical Staff Secretary
Phone
(423) 266-3719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

979 E 3Rd St
Ste C-220
Chattanooga, TN 37403-3314

Mailing address

979 E 3Rd St
Ste C-220
Chattanooga, TN 37403-3314
Phone (423) 267-4585

Other identifiers 5

IdentifierTypeStateIssuer
3151822MedicaidTN
3374205MedicaidTN
3871652MedicaidTN
3027228MedicaidTN
3826450MedicaidTN

National Provider Directory

National Provider Directory

Locations

979 E 3rd St
Ste 1203
Chattanooga, TN 37403
Phone (423) 267-4585

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1235105255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE C-220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033314",
            "telephone_number": "423-267-4585",
            "fax_number": "423-756-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE C-220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033314",
            "telephone_number": "423-267-4585",
            "fax_number": "423-756-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "REBA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MEDICAL STAFF SECRETARY",
        "authorized_official_telephone_number": "423-266-3719",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151822",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374205",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3871652",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027228",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3826450",
            "state": "TN"
        }
    ],
    "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 Jan 14, 2008; 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.