Individual provider Active NPI

Martin Finnegan, MD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1821025784
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35202 Issued in TN
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 493-1387
Fax
(423) 553-1224
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35202 TN Primary

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

PO Box 52690
Knoxville, TN 37950-2690
Phone (865) 766-8800

Other identifiers 6

IdentifierTypeStateIssuer
000946382MedicaidGA
300131268OtherTNRR MCARE-ADR
4022315OtherTNPLAZA BC/BS OF TN
009918735MedicaidAL
4022310OtherTNADR BC/BS OF TN
300131267OtherTNRR MCARE-CI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Plaza Radiology, PLLC Diagnostic Radiology PastSince Jan 1, 2012 Accepting new patients
Radiology Alliance PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1821025784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52690",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502690",
            "telephone_number": "865-766-8800",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-493-1387",
            "fax_number": "423-553-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "35202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000946382",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE-ADR",
            "identifier": "300131268",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAZA BC/BS OF TN",
            "identifier": "4022315",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009918735",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADR BC/BS OF TN",
            "identifier": "4022310",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE-CI",
            "identifier": "300131267",
            "state": "TN"
        }
    ],
    "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 Jan 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.