Organization Active NPI

Parkridge Professionals, Inc

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1841592573
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PARKRIDGE PROFESSIONALS, INC
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 698-6061
Fax
(423) 493-1208
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKRIDGE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Jay St.Pierre
Title
Cfo
Phone
(423) 493-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

PO Box 3130
Chattanooga, TN 37404-0130
Phone (423) 493-1739

National Provider Directory

National Provider Directory
Part of
Family Sports Medicin

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1841592573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040130",
            "telephone_number": "423-493-1739",
            "fax_number": "423-493-1448"
        },
        {
            "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": "423-698-6061",
            "fax_number": "423-493-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKRIDGE PROFESSIONALS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKRIDGE MEDICAL CENTER",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "ST.PIERRE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-493-1293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "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 Dec 1, 2010; 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.