Silversage Physician Services of Tennessee, PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

SILVERSAGE PHYSICIAN SERVICES OF TENNESSEE, PLLC

Practice address

5911 Snow Hill Rd
Ooltewah, TN 37363-9129

Phone

(423) 531-0600

Fax

(423) 531-0645

NPI assigned

May 11, 2017

Last updated

Jun 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth L. Scott Jr., D.O.

Title

Owner and President

Phone

(423) 815-1605

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1316473366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 23993",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374223993",
            "telephone_number": "423-815-1600",
            "fax_number": "423-763-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 SNOW HILL RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639129",
            "telephone_number": "423-531-0600",
            "fax_number": "423-531-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSAGE PHYSICIAN SERVICES OF TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "423-815-1605",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Fernandez Shaffer, NP-C
• Emma Jean Shelby
• Tara L Shepherd, RDH
• Allen T Sherwood, M.D.
• Diane Allen Shuck
• Logan Sims, DPT
• John Clinton Sinclair, LMT
• John A. Sines Jr., D.D.S.
• Kelsey Lynn Sivley, PT, DPT
• Bernadette Slater, OTR/L, CLT

• Geriatric Medicine (Family Medicine) Physician in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Geriatric Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.