John a. Shull, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

10078 Issued in TN

Legal business name

JOHN A. SHULL, M.D., P.C.

Practice address

929 Spring Creek Rd
Suite 203
Chattanooga, TN 37412-3964

Phone

(423) 855-0357

Fax

(423) 855-4917

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Albert Shull, M.D.

Title

Physician/Owner

Phone

(423) 855-0357

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1346421153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SPRING CREEK RD",
            "address_2": "SUITE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123964",
            "telephone_number": "423-855-0357",
            "fax_number": "423-855-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SPRING CREEK RD",
            "address_2": "SUITE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123964",
            "telephone_number": "423-855-0357",
            "fax_number": "423-855-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. SHULL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "423-855-0357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "10078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0024916",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Specialist in Tennessee

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