NPIMap

Organization Active NPI

McKenzie Center for Internal Medicine, PLLC

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1669608501
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCKENZIE CENTER FOR INTERNAL MEDICINE, PLLC
Practice address
6031 Shallowford Rd
Suite 400
Chattanooga, TN 37421-1983
Phone
(423) 648-9808
Fax
(423) 648-4570
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dr. Mark M. McKenzie, MD
Title
Owner
Phone
(423) 648-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6031 Shallowford Rd
Suite 400
Chattanooga, TN 37421-1983

Mailing address

6031 Shallowford Rd
Suite 400
Chattanooga, TN 37421-1983
Phone (423) 648-9808

National Provider Directory

National Provider Directory

Locations

6031 Shallowford Rd
Ste 400
Chattanooga, TN 37421

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1669608501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211983",
            "telephone_number": "423-648-9808",
            "fax_number": "423-648-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211983",
            "telephone_number": "423-648-9808",
            "fax_number": "423-648-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE CENTER FOR INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-648-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 5, 2009; 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.