Organization Active NPI

Atrium Surgery Center, LTD., a Tennessee Limited Partnership

Doing business as Atrium Memorial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1720041254
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000063 Issued in TN
Legal business name
ATRIUM SURGERY CENTER, LTD., A TENNESSEE LIMITED PARTNERSHIP
Doing business as
Atrium Memorial Surgery Center
Practice address
1949 Gunbarrel Rd
Suite 290
Chattanooga, TN 37421-3188
Phone
(423) 495-3551
Fax
(423) 495-3596
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Don Liedtke
Title
Vice President
Phone
(615) 344-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000063 TN Primary

Addresses

Primary practice location

1949 Gunbarrel Rd
Suite 290
Chattanooga, TN 37421-3188

Mailing address

1949 Gunbarrel Rd
Suite 290
Chattanooga, TN 37421-3188
Phone (423) 495-3551

Other identifiers 1

IdentifierTypeStateIssuer
3287589MedicaidTN

Other names 1

  • Atrium Memorial Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

1949 Gunbarrel Rd
#290
Chattanooga, TN 37421
Phone (423) 495-3550

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1720041254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 290",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-495-3551",
            "fax_number": "423-495-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 290",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-495-3551",
            "fax_number": "423-495-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM SURGERY CENTER, LTD., A TENNESSEE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287589",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Memorial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 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.