Tennessee Institute for Maxillofacial Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC

Practice address

625 Morrison Springs Rd
Chattanooga, TN 37415-3401

Phone

(423) 855-5550

Fax

(423) 899-9182

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By 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

Dr. Thomas R. Cook III

Title

Chief Medical Officer

Phone

(423) 855-5550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326112582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153401",
            "telephone_number": "423-855-5550",
            "fax_number": "423-899-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153401",
            "telephone_number": "423-855-5550",
            "fax_number": "423-899-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK III",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "423-855-5550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tennessee Hypertension Network, PC
• Tennessee Interventional and Imaging Associates, PLLC
• Tennessee Medical Services P.C.
• Tennessee Oncology (Chattanooga PET and Imaging Center)
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology Pharmacy Dispensing

• Ambulatory Surgical Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.