Organization Active NPI

BSMD Chattanooga, PC

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1467794909
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34464 Issued in TN
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.