Active NPI
Chattanoogas Program in Womens Oncology Inc
- Gynecologic Oncology Physician
- Chattanooga, TN
National Provider Identifier
1811072689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 35113
- Legal business name
- CHATTANOOGAS PROGRAM IN WOMENS ONCOLOGY INC
- Practice address
- 102 Central Ave
Chattanooga, TN 37403-1503 - Phone
- (423) 266-3636
- Fax
- (423) 266-3633
- NPI assigned
- Oct 27, 2006
- Last updated
- Nov 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen E. Depasquale, MD
- Title
- Physician
- Phone
- (423) 266-3636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 35113 | TN | Primary |
Addresses
Primary practice location
102 Central Ave
Chattanooga, TN 37403-1503
Mailing address
102 Central Ave
Chattanooga, TN 37403-1503
Phone (423) 266-3636
National Provider Directory
National Provider DirectoryLocations
255N Willow Ave
Cookeville, TN 38501
Phone (423) 266-3636
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Gynecologic Oncology Physician
- Chattanooga, TN
- NPI 1801848320
-
- Family Nurse Practitioner
- Chattanooga, TN
- NPI 1285952119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257984000000",
"number": "1811072689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRAL AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031503",
"telephone_number": "423-266-3636",
"fax_number": "423-266-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRAL AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031503",
"telephone_number": "423-266-3636",
"fax_number": "423-266-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTANOOGAS PROGRAM IN WOMENS ONCOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2009-11-12",
"status": "A",
"authorized_official_last_name": "DEPASQUALE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "423-266-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TN",
"license": "35113",
"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 Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.