Parkridge Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARKRIDGE MEDICAL ASSOCIATES LLC

Practice address

1013 Executive Drive
Suite 101
Hixson, TN 37343

Phone

(423) 648-7191

NPI assigned

Jun 29, 2006

Organization subpart

Yes

Parent organization

HOSPITAL CORP., LLCAs reported in NPPES

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

Authorized official

Name

Jeff Rydburg

Title

VP

Phone

(615) 373-7415

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swarna K Bareddy, MD

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1710971593
  NPD (past)
• Maria Martin, M.D

  • Family Medicine Physician
  • Hixson, TN
  • NPI 1467424770
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1447288477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 EXECUTIVE DRIVE",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-648-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 EXECUTIVE DRIVE",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-648-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL CORP., LLC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "RYDBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7415"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732869",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela H. Johnson, LCSW, PC
• Katelin McCall Pannell, MD
• Breanne Parker, PHARMD
• Christina Rebecca Parkhurst, MEDICAL DOCTOR
• Walter Douglas Parkhurst, MD
• Linda M Pate, M.D.
• Chirag Patel
• Himanshu Ashokkumar Patel, PHARM.D
• Kevin Suresh Patel, PHARMD
• Sushma Patel

• Family Medicine Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.