Active NPI
Liver and Gastroenterology Center
- Gastroenterology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
- 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
- Jay M Philippose, MD
- Title
- Owner
- Phone
- (423) 697-0621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
725 Glenwood Dr
Memorial Medical BLDG East Suite 488E
Chattanooga, TN 37404-1163
Mailing address
725 Glenwood Dr
Memorial Medical BLDG East Suite 488E
Chattanooga, TN 37404-1163
Phone (423) 697-0621
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1036466 | Liver & Gastroenterology Center | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
2341 McCallie Ave
Ste 302
Chattanooga, TN 37404
Phone (423) 629-9743
725 Glenwood Dr
Ste 488
Chattanooga, TN 37404
Phone (423) 697-0621
2339 McCallie Ave
Ste 302
Chattanooga, TN 37404
Phone (423) 697-0621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Chattanooga, TN
- NPI 1932214889
NPI Registry JSON
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": []
}
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 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.