Active NPI
BSMD Chattanooga, PC
- Family Medicine Physician
- Chattanooga, TN
National Provider Identifier
1467794909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34464
- Legal business name
- BSMD CHATTANOOGA, PC
- Practice address
- 1511 Gunbarrel Rd
Ste 111
Chattanooga, TN 37421-3897 - Phone
- (423) 553-5999
- Fax
- (423) 553-5640
- NPI assigned
- Mar 22, 2013
- Last updated
- Apr 18, 2013
- 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
- Ruth Martikainen
- Title
- Billing Director
- Phone
- (828) 339-7253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34464 | TN | Primary |
Addresses
Primary practice location
1511 Gunbarrel Rd
Ste 111
Chattanooga, TN 37421-3897
Mailing address
PO Box 321
Sylva, NC 28779-0321
Phone (828) 586-8160
National Provider Directory
National Provider DirectoryLocations
1511 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 553-5999
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Obstetrics & Gynecology Physician
- Chattanooga, TN
- NPI 1417970054
-
- Family Nurse Practitioner
- Hixson, TN
- NPI 1386076719
-
- Nurse Practitioner
- Chattanooga, TN
- NPI 1518123058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1467794909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790321",
"telephone_number": "828-586-8160",
"fax_number": "828-586-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 GUNBARREL RD",
"address_2": "STE 111",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213897",
"telephone_number": "423-553-5999",
"fax_number": "423-553-5640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BSMD CHATTANOOGA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-22",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "MARTIKAINEN",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "828-339-7253"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "34464",
"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 Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.