Carestar Health Associates LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

35052 Issued in TN

Legal business name

CARESTAR HEALTH ASSOCIATES LLC

Practice address

6106 Shallowford Rd Ste 108
Chattanooga, TN 37421-2280

Phone

(423) 760-8700

Fax

(423) 760-8703

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Philip A. Bannor, MD

Title

Physician

Phone

(423) 760-8700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1376083907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD STE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212280",
            "telephone_number": "423-760-8700",
            "fax_number": "423-760-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD STE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212280",
            "telephone_number": "423-760-8700",
            "fax_number": "423-760-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAR HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BANNOR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-760-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35052",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "35052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carestar Medical Associates
• Carestar Medical Partners LLC
• Carestar Pharmacy
• Alicia Levering Carico
• Paul Herman Carico III, DDS

• All providers in Chattanooga, TN
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.