Active NPI
Chattanooga GYN-Oncology, LLC
- Gynecologic Oncology Physician
- Chattanooga, TN
National Provider Identifier
1831146356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- CHATTANOOGA GYN-ONCOLOGY, LLC
- Practice address
- 1000 E 3Rd St
Suite 201
Chattanooga, TN 37403-2106 - Phone
- (423) 698-2050
- Fax
- (423) 698-2095
- NPI assigned
- May 29, 2006
- 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. Donald Heaston Chamberlain, M.D.
- Title
- Member
- Phone
- (423) 698-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
1000 E 3Rd St
Suite 201
Chattanooga, TN 37403-2106
Mailing address
PO Box 867
Ooltewah, TN 37363-0867
Phone (423) 698-2050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00798311B | Medicaid | GA | |
| 3732814 | Medicaid | TN |
Other names 1
- Chattanooga Gyn-Oncology
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Cleveland, TN
- NPI 1083689905
-
- Medical Physician Assistant
- Chattanooga, TN
- NPI 1366417776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260489600000",
"number": "1831146356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 867",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373630867",
"telephone_number": "423-698-2050",
"fax_number": "423-698-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 3RD ST",
"address_2": "SUITE 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032106",
"telephone_number": "423-698-2050",
"fax_number": "423-698-2095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTANOOGA GYN-ONCOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-29",
"last_updated": "2009-12-11",
"status": "A",
"authorized_official_last_name": "CHAMBERLAIN",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "HEASTON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "423-698-2050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00798311B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3732814",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chattanooga Gyn-Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chattanooga, TN
- Chattanooga Family Practice Associates, P.C.
- Chattanooga Foot & Ankle Center, Inc.
- Chattanooga Foot Specialists, PLLC
- Chattanooga Gastroenterology, PC
- Chattanooga Group Health, LLC
- Chattanooga Hamilton County Hospital Authority
- Chattanooga Hamilton County Hospital Authority
- Chattanooga Hamilton County Hospital Authority
- Chattanooga Hamilton County Hospital Authority
- Chattanooga Hamilton County Hospital Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.