Active NPI
Vincent a. Viscomi, MD PC
- Pulmonary Disease Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- VINCENT A. VISCOMI, MD PC
- Practice address
- 725 Glenwood Drive
Suite E-680
Chattanooga, TN 37404-1176 - Phone
- (423) 495-7378
- Fax
- (423) 495-4425
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent A Viscomi, MD
- Title
- MD/Owner
- Phone
- (423) 495-7378
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
725 Glenwood Drive
Suite E-680
Chattanooga, TN 37404-1176
Mailing address
PO Box 24325
Chattanooga, TN 37422-4325
Phone (423) 495-7378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3049230 | Medicaid | TN | |
| DG8484 | Other | TN | RR MEDICARE TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2205 McCallie Ave
Ste 501
Chattanooga, TN 37404
Phone (423) 495-7378
2525 Desales Ave
Ste W461
Chattanooga, TN 37404
725 Glenwood Dr
Ste 680
Chattanooga, TN 37404
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chattanooga, TN
- NPI 1730789926
-
- Physical Medicine & Rehabilitation Physician
- Chattanooga, TN
- NPI 1851304307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1336175736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24325",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374224325",
"telephone_number": "423-495-7378",
"fax_number": "423-495-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 GLENWOOD DRIVE",
"address_2": "SUITE E-680",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041176",
"telephone_number": "423-495-7378",
"fax_number": "423-495-4425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT A. VISCOMI, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "VISCOMI",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "423-495-7378",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3049230",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE TN",
"identifier": "DG8484",
"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 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.