The Pelvic Pain and Reconstructive Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

024075 Issued in TN

Legal business name

THE PELVIC PAIN AND RECONSTRUCTIVE SURGERY CENTER

Practice address

1755 Gunbarrel Rd
Suite 202
Chattanooga, TN 37421-7137

Phone

(423) 490-1136

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Alfredo Nieves, M.D.

Title

Medical Director

Phone

(423) 490-1136

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1710050737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-490-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-490-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PELVIC PAIN AND RECONSTRUCTIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-490-1136",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "024075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4133945",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "3735545",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Pelvic Rehab Center, LLC
• The Plastic Surgery Group, P.C.
• The Plastic Surgery Group, P.C.
• The Plastic Surgery Group,PC
• The Plastic Surgery Group,PC

• Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.