Organization Active NPI

Plaza Urology Group, P.C.

  • Urology Physician
  • Chattanooga, TN
National Provider Identifier
1649478751
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PLAZA UROLOGY GROUP, P.C.
Practice address
1300 Cleveland Ave
Chattanooga, TN 37404-2005
Phone
(423) 756-7860
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Marty Scheinberg, M.D.
Title
President
Phone
(423) 756-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1300 Cleveland Ave
Chattanooga, TN 37404-2005

Mailing address

1300 Cleveland Ave
Chattanooga, TN 37404-2005

Other identifiers 10

IdentifierTypeStateIssuer
00575341AMedicaidGA
640896503AMedicaidGA
895428138AMedicaidGA
P00031711OtherRAIL ROAD MEDICARE
00235628AMedicaidGA
340003880OtherRAIL ROAD MEDICARE
340007732OtherRAIL ROAD MEDICARE
340013888OtherRAIL ROAD MEDICARE
P00255345OtherRAIL ROAD MEDICARE
003714181AMedicaidGA

National Provider Directory

National Provider Directory

Locations

100 Gross Crescent Cir
Ste 500
Ft Oglethorpe, GA 30742

102 Gross Crescent Cir
Ste 200
Ft Oglethorpe, GA 30742
Phone (423) 756-7860

1755 Gunbarrel Rd
Ste 105
Chattanooga, TN 37421
Phone (423) 778-8650

1300 Cleveland Ave
Chattanooga, TN 37404
Phone (423) 495-4345

9390 Rhea County Hwy
Dayton, TN 37321
Phone (423) 757-0860

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1649478751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CLEVELAND AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CLEVELAND AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042005",
            "telephone_number": "423-756-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA UROLOGY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "SCHEINBERG",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-756-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00575341A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640896503A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895428138A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00031711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235628A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340003880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340007732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340013888",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00255345",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003714181A",
            "state": "GA"
        }
    ],
    "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 Sep 7, 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.

Verify at the official NPI Registry.