NPIMap

Organization Active NPI

Chattanooga Center for Pain Medicine PC

  • Interventional Pain Medicine Physician
  • Hixson, TN
National Provider Identifier
1760408207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD12811 Issued in TN
Legal business name
CHATTANOOGA CENTER FOR PAIN MEDICINE PC
Practice address
1012 Executive Dr
Suite 101
Hixson, TN 37343-3993
Phone
(423) 756-7246
Fax
(423) 756-7247
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger William Catlin, M.D.
Title
President / Owner
Phone
(423) 756-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD12811 TN Primary

Addresses

Primary practice location

1012 Executive Dr
Suite 101
Hixson, TN 37343-3993

Mailing address

1012 Executive Dr
Suite 101
Hixson, TN 37343-3993
Phone (423) 756-7246

Other names 1

  • Chattanooga Center for Pain Medicine & Rehabilitation Other name

National Provider Directory

National Provider Directory

Locations

1012 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 756-7246

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760408207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433993",
            "telephone_number": "423-756-7246",
            "fax_number": "423-756-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433993",
            "telephone_number": "423-756-7246",
            "fax_number": "423-756-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA CENTER FOR PAIN MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATLIN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "423-756-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD12811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chattanooga Center for Pain Medicine & Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.