NPIMap

Organization Active NPI

C. Ann Mashchak, M.D.

Doing business as GYNplus

  • Specialist
  • Ooltewah, TN
National Provider Identifier
1457518227
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
C. ANN MASHCHAK, M.D.
Doing business as
GYNplus
Practice address
9413 Apison Pike
Suite 124
Ooltewah, TN 37363-8661
Phone
(423) 624-9830
Fax
(423) 624-0773
NPI assigned
May 20, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Clarissa Ann Mashchak, M.D.NPI 1245202183
Title
Owner/Operator
Phone
(423) 624-9830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9413 Apison Pike
Suite 124
Ooltewah, TN 37363-8661

Mailing address

PO Box 848873
Boston, MA 02284-8873
Phone (423) 624-9830

Other identifiers 2

IdentifierTypeStateIssuer
3032077MedicaidTN
2004710OtherTNBLUE CROSS BLUE SHIELD

Other names 1

  • GYNplus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1457518227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848873",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848873",
            "telephone_number": "423-624-9830",
            "fax_number": "423-624-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 APISON PIKE",
            "address_2": "SUITE 124",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638661",
            "telephone_number": "423-624-9830",
            "fax_number": "423-624-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. ANN MASHCHAK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MASHCHAK",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "423-624-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032077",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2004710",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GYNplus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.