Active NPI
Plaza Surgery, G.P.
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
National Provider Identifier
1497750400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000135
- Legal business name
- PLAZA SURGERY, G.P.
- Practice address
- 979 E 3Rd St
Chattanooga, TN 37403-2136 - Phone
- (423) 778-3192
- Fax
- (423) 778-2164
- NPI assigned
- Jun 16, 2005
- 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
- Ms. Dawn Hurst
- Title
- Business Office Manager
- Phone
- (423) 778-3192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000135 | TN | Primary |
Addresses
Primary practice location
979 E 3Rd St
Chattanooga, TN 37403-2136
Mailing address
13740 Cypress Terrace Cir
Ste 501-503
Fort Myers, FL 33907-8827
Phone (239) 274-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3288588 | Medicaid | TN | |
| 6800041 | Other | UNITED HEALTHCARE | |
| 4015206 | Other | TN | BC/BS OF TN |
National Provider Directory
National Provider DirectoryLocations
979 E 3rd St
Ste G25
Chattanooga, TN 37403
Phone (423) 778-3192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198022400000",
"number": "1497750400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13740 CYPRESS TERRACE CIR",
"address_2": "STE 501-503",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339078827",
"telephone_number": "239-274-1000",
"fax_number": "239-274-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-778-3192",
"fax_number": "423-778-2164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA SURGERY, G.P.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2007-12-19",
"status": "A",
"authorized_official_last_name": "HURST",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "423-778-3192",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3288588",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6800041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TN",
"identifier": "4015206",
"state": "TN"
}
],
"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 Dec 19, 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.