Active NPI
Stephen V Dreskin MD PC
Doing business as Tennessee Valley Pain Management
- Pain Medicine Physician
- Hixson, TN
National Provider Identifier
1619212453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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, 2019
- 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
- Mrs. Amber S Genter
- Title
- Manager
- Phone
- (423) 664-4635
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1035845 | Tennessee Valley Pain Management | Accreditation | Feb 21, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.