Organization Active NPI

Chattanoogas Program in Womens Oncology Inc

  • Gynecologic Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1811072689
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
35113 Issued in TN
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Stephen E. Depasquale, MDNPI 1801848320
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)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.