St Joseph Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000045277 Issued in TN

Legal business name

ST JOSEPH CLINIC, P.C.

Practice address

1720 Gunbarrel Rd
Suite 108
Chattanooga, TN 37421-4144

Phone

(706) 277-2321

Fax

(706) 428-2812

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pablo E Perez, MDNPI 1942218086

Title

President

Phone

(706) 277-2321

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Pablo E Perez, MD

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1942218086
  NPD Authorized official

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1841571718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W WAUGH ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208769",
            "telephone_number": "706-277-2321",
            "fax_number": "706-428-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214144",
            "telephone_number": "706-277-2321",
            "fax_number": "706-428-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-277-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000045277",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Spruill, CRNA
• Jennifer R. Spry, PA-C
• St Barnabas Apartments Assisted Living Inc (St Barnabas Senior Living Services)
• St Elmo Dental LLC
• Matthew Wyatt St Hilaire
• St. Elmo Dental
• Carolyn St. John, CCC-SLP
• Rebekah Staats, LMSW
• Staccato LLC (ComForCare Homecare of Chattanooga)
• Daniel Stacy

• Internal Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.