Active NPI
Eve Raburn Wadzinski, MD
- Pediatrics Physician
- Dayton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43543
- Practice address
- 149 Walnut Grove Church Rd
Dayton, TN 37321-7925 - Phone
- (423) 775-5512
- NPI assigned
- Sep 29, 2007
- Last updated
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43543 | TN | Primary |
Addresses
Primary practice location
149 Walnut Grove Church Rd
Dayton, TN 37321-7925
Mailing address
149 Walnut Grove Church Rd
Dayton, TN 37321-7925
Phone (423) 775-5512
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43543 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Pediatrics | Current | Accepting new patients |
| Erlanger Health | Pediatrics | Current | Accepting new patients |
| Erlanger Health | Current | Accepting new patients | |
| Dayton Pediatrics P C | Past | Accepting new patients | |
| Pediatric Choice LLC | Pediatrics | Past | Accepting new patients |
Locations
910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UT Erlanger Health Network
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Pediatrics
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Primary Care Clinic/Center
- Dayton, TN
- NPI 1205041555
-
- Pediatrics Physician
- Lenoir City, TN
- NPI 1811023989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1720275134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 WALNUT GROVE CHURCH RD",
"city": "DAYTON",
"state": "TN",
"postal_code": "373217925",
"telephone_number": "423-775-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 WALNUT GROVE CHURCH RD",
"city": "DAYTON",
"state": "TN",
"postal_code": "373217925",
"telephone_number": "423-775-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADZINSKI",
"first_name": "EVE",
"middle_name": "RABURN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-29",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "43543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, TN
- Dennis James Van Meter, DMD
- Varnell Shaver LLC
- Kelly Rae Vogler, SLP-CCC
- Voytik Center for Orthopedic Care, PC
- Bill Nhung Q Vuong, DPM
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0619)
- Wal-Mart Stores East, LP (Vision Center 30-0619)
- Kari Kuykendall Walden, PHARMD
- Walgreen Co (Rite Aid #11898)
- Walgreen Co (Walgreens #11634)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.