Organization Active NPI

Obstetrics & Gynecology of Hixson, PLLC

  • Obstetrics & Gynecology Physician
  • Hixson, TN
National Provider Identifier
1669703849
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBSTETRICS & GYNECOLOGY OF HIXSON, PLLC
Practice address
2051 Hamill Rd
Suite 211
Hixson, TN 37343-6614
Phone
(423) 702-9240
Fax
(423) 702-9245
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Susan M Shuck, MD
Title
Owner
Phone
(423) 702-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2051 Hamill Rd
Suite 211
Hixson, TN 37343-6614

Mailing address

PO Box 11026
Chattanooga, TN 37401-2026
Phone (423) 702-9240

National Provider Directory

National Provider Directory

Locations

6025 Lee Hwy
Ste 306
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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1669703849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11026",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012026",
            "telephone_number": "423-702-9240",
            "fax_number": "423-702-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "address_2": "SUITE 211",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-702-9240",
            "fax_number": "423-702-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY OF HIXSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-702-9240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 2010; 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.