Parkridge East Specialty Associates LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PARKRIDGE EAST SPECIALTY ASSOCIATES LLC

Practice address

961 Spring Creek Rd
Suite 300
Chattanooga, TN 37412-3909

Phone

(423) 892-5013

NPI assigned

Jun 12, 2006

Organization subpart

Yes

Parent organization

HOSPITAL CORP., LLCAs reported in NPPES

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

Authorized official

Name

Jeff Rydburg

Title

VP

Phone

(615) 373-7415

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1760424949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SPRING CREEK RD",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123909",
            "telephone_number": "423-892-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SPRING CREEK RD",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123909",
            "telephone_number": "423-892-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE EAST SPECIALTY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL CORP., LLC",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "RYDBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7415"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Peyton Parker, MD
• Ronnisha Parker
• Sara J Parker, R.N.
• Sarah Lynae Parker, NP
• Sean Medard Parker, MD
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.

• All providers in Chattanooga, TN
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.