Scenic City Orthopaedics & Sports Medicine, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

21142 Issued in TN

Legal business name

SCENIC CITY ORTHOPAEDICS & SPORTS MEDICINE, PLLC

Practice address

2707 Citico Ave
Chattanooga, TN 37406-3402

Phone

(423) 624-8588

Fax

(423) 622-3069

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Eric P Clarke, M.D.

Title

Owner

Phone

(423) 624-8588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• C Cleve Waters, MD

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1801869243
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1295941300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374063402",
            "telephone_number": "423-624-8588",
            "fax_number": "423-622-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374063402",
            "telephone_number": "423-624-8588",
            "fax_number": "423-622-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY ORTHOPAEDICS & SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-624-8588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "21142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scenic City Medical Equipment LLC
• Scenic City Medical Massage
• Scenic City Neurotherapy and Ketamine Center LLC
• Scenic City Nutrition, LLC
• Scenic City Orthodontics PC
• Scenic City Pediatrics PLLC
• Scenic City Plastic Surgery, LLC
• Scenic City Podiatry, PLLC
• Scenic City Rheumatology PLLC
• Scenic City Rheumatology, PLLC

• Orthopaedic Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.