Individual provider Active NPI

Ronald W Oxenhandler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chattanooga, TN
National Provider Identifier
1285694232
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD0000015836 Issued in TN
Practice address
2525 Desales Ave
Pathology Laboratory
Chattanooga, TN 37404-1161
Phone
(423) 495-8703
Fax
(423) 495-6175
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD0000015836 TN Primary

Addresses

Primary practice location

2525 Desales Ave
Pathology Laboratory
Chattanooga, TN 37404-1161

Mailing address

PO Box 3637
Attn Judy H Nowlin
Chattanooga, TN 37404-0637
Phone (423) 629-7688

Other identifiers 1

IdentifierTypeStateIssuer
338850CMedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000015836TNMDAnatomic Pathology & Clinical Pathology Physician
15836TNMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1285694232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3637",
            "address_2": "ATTN JUDY H NOWLIN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040637",
            "telephone_number": "423-629-7688",
            "fax_number": "423-495-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "address_2": "PATHOLOGY LABORATORY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-8703",
            "fax_number": "423-495-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENHANDLER",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000015836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338850C",
            "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 Sep 28, 2007; 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.