Chattanooga Cardiac Care LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD0000022043 Issued in TN

Legal business name

CHATTANOOGA CARDIAC CARE LLC

Practice address

1017 Executive Dr
Suite 101
Hixson, TN 37343-7910

Phone

(423) 495-9581

Fax

(423) 495-9583

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven Kenneth Austin, M.D.

Title

Owner

Phone

(423) 495-9581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1487917209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437910",
            "telephone_number": "423-495-9581",
            "fax_number": "423-495-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437910",
            "telephone_number": "423-495-9581",
            "fax_number": "423-495-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA CARDIAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-495-9581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD0000022043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076909",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Semary Chan
• Chattanooga Center for Pain Medicine PC
• Chattanooga Emergency Medicine PLLC
• Chattanooga Foot & Ankle PLLC
• Chattanooga General & Bariatric Surgery Inc
• Chattanooga Movement Center, LLC

• Medical Specialty Clinic/Center in Hixson, TN
• Providers in Hixson, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.