Individual provider Active NPI

James Daniel Wadzinski, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1437351970
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42480 Issued in TN
Practice address
6098 Debra Rd
6200 BLDG, Suite 5200
Chattanooga, TN 37411-5702
Phone
(423) 893-6500
NPI assigned
Jun 5, 2007
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42480 TN Primary

Addresses

Primary practice location

6098 Debra Rd
6200 BLDG, Suite 5200
Chattanooga, TN 37411-5702

Mailing address

6098 Debra Rd
6200 BLDG, Suite 5200
Chattanooga, TN 37411-5702
Phone (423) 893-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000777 TN Practitioner - Family Practice 0244321842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42480TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jun 8, 2012 Accepting new patients
University Health System, Inc Family Medicine CurrentSince Jun 8, 2012 Accepting new patients
University Health System, Inc Current Accepting new patients
Cardiovascular Diseases Group, PLLC Past Accepting new patients

Locations

2480 Highway 72 N
Loudon, TN 37774
Phone (865) 458-1183

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1437351970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 DEBRA RD",
            "address_2": "6200 BLDG, SUITE 5200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115702",
            "telephone_number": "423-893-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 DEBRA RD",
            "address_2": "6200 BLDG, SUITE 5200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115702",
            "telephone_number": "423-893-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADZINSKI",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "42480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.