Organization Active NPI

Vip 2U, LTD.

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1356074173
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
VIP 2U, LTD.
Practice address
200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571
Phone
(423) 521-5404
Fax
(423) 425-9939
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Jennifer Zamora
Title
Manager
Phone
(312) 728-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571

Mailing address

360 W Butterfield Rd Ste 325
Elmhurst, IL 60126-5088
Phone (312) 728-4728

Other names 1

  • ALC Primary Care at Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alc Primary Care at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1356074173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 325",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265088",
            "telephone_number": "312-728-4728",
            "fax_number": "312-728-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MARTIN LUTHER KING BLVD STE 1000",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022571",
            "telephone_number": "423-521-5404",
            "fax_number": "423-425-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP 2U, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-728-4728"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALC Primary Care at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALC Primary Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 21, 2024; 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.