Organization Active NPI

Carlton M. Vollberg, D.O.P.C

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1730399973
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARLTON M. VOLLBERG, D.O.P.C
Practice address
1608 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-7197
Phone
(423) 296-0382
Fax
(423) 296-0383
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Carlton Mark Vollberg, D.O.NPI 1730178450
Title
Physician/Owner
Phone
(423) 296-0382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1608 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-7197

Mailing address

1608 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-7197
Phone (423) 293-0382

National Provider Directory

National Provider Directory

Locations

1608 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 296-0382

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1730399973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 GUNBARREL RD",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217197",
            "telephone_number": "423-293-0382",
            "fax_number": "423-296-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GUNBARREL RD",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217197",
            "telephone_number": "423-296-0382",
            "fax_number": "423-296-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON M. VOLLBERG, D.O.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "VOLLBERG",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "423-296-0382",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 5, 2011; 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.