Organization Active NPI

Stephen V Dreskin MD PC

Doing business as Tennessee Valley Pain Management

  • Pain Medicine Physician
  • Hixson, TN
National Provider Identifier
1619212453
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
STEPHEN V DRESKIN MD PC
Doing business as
Tennessee Valley Pain Management
Practice address
1012 Executive Dr
Hixson, TN 37343-3993
Phone
(423) 664-4635
Fax
(423) 664-4640
NPI assigned
Dec 5, 2012
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Mrs. Amber S Genter
Title
Manager
Phone
(423) 664-4635

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

1012 Executive Dr
Hixson, TN 37343-3993

Mailing address

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421-7222
Phone (423) 664-4635

Other names 1

  • Tennessee Valley Pain Management Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1035845Tennessee Valley Pain Management1012 Executive Dr, Hixson, TN 37343AccreditationFeb 21, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1619212453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 SHALLOWFORD RD",
            "address_2": "STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217222",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 EXECUTIVE DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433993",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN V DRESKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "GENTER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-664-4635",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Valley Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Valley Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.