Active NPI
Stephen Lee Martin, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 20886
- Practice address
- 2205 McCallie Ave
Chattanooga, TN 37404-3230 - Phone
- (423) 698-2435
- Fax
- (423) 697-6110
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 045879 | GA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 20886 | TN | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 31639 | CO |
Addresses
Primary practice location
2205 McCallie Ave
Chattanooga, TN 37404-3230
Mailing address
2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | STEPHEN.MARTIN@hca1.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 McCallie Ave
Suite 102
Chattanooga, TN 37404-3323
Phone (423) 493-5220
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31639 | CO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 045879 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Diagnostic Associates LLC | Current | Accepting new patients |
Locations
2341 McCallie Ave
Ste 403
Chattanooga, TN 37404
Phone (423) 602-9674
2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733
2205 McCallie Ave
Ste 102
Chattanooga, TN 37404
Phone (423) 493-5220
1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Diagnostic Center
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1679772099
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1699762146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043230",
"telephone_number": "423-698-2435",
"fax_number": "423-697-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043230",
"telephone_number": "423-698-2435",
"fax_number": "423-697-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "STEPHEN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "045879",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "20886",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CO",
"license": "31639",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "STEPHEN.MARTIN@hca1.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2205 McCallie Ave",
"city": "Chattanooga",
"state": "TN",
"country_code": "US",
"postal_code": "374043230",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.