Liver and Gastroenterology Center

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

LIVER AND GASTROENTEROLOGY CENTER

Practice address

725 Glenwood Dr
Memorial Medical BLDG East Suite 488E
Chattanooga, TN 37404-1163

Phone

(423) 697-0621

Fax

(423) 697-8716

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By 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

Jay M Philippose, MDNPI 1992709364

Title

Owner

Phone

(423) 697-0621

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay M Philippose, M.D.

  • Gastroenterology Physician
  • Chattanooga, TN
  • NPI 1992709364
  Authorized official Same address or phone
• Tina Quentella Harris, NP-C

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1932214889
  NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1386836070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR",
            "address_2": "MEMORIAL MEDICAL BLDG EAST SUITE 488E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041163",
            "telephone_number": "423-697-0621",
            "fax_number": "423-697-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR",
            "address_2": "MEMORIAL MEDICAL BLDG EAST SUITE 488E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041163",
            "telephone_number": "423-697-0621",
            "fax_number": "423-697-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER AND GASTROENTEROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "PHILIPPOSE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-697-0621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Yuen Liu, MD
• Katherine Elizabeth Marie Liu, RN
• Julie Livarchuk, FNP
• Courtney Louise Lively-Manyam, CRNA
• Julia Ward Lively, MSN, FNP-C
• Amela Ljaljic, PHARMD
• Roberta Llewellyn, OTR/L
• Kimberly Ann Lloyd
• Roseann Marie Lobach, FNP-C
• Aliana Lobato Mauri

• Gastroenterology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.