Memorial Health Care System, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MEMORIAL HEALTH CARE SYSTEM, INC.

Doing business as

Memorial Heart Institute, LLC

Practice address

2501 Citico Ave
Chattanooga, TN 37404-1127

Phone

(423) 697-2000

Fax

(423) 697-2118

NPI assigned

Dec 22, 2010

Last updated

Oct 31, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MEMORIAL HEALTH CARE SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Mr. Paul G. Farmer

Title

President

Phone

(423) 697-2103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memorial Heart Institute, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Memorial Health Care System Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736

  O20040110000188

  Same enrollment

Part of

Cigna Finance

Locations

Practitioners 78

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.

• Gillian Akins, NP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1427506922
  NPD
• William Chadwick Armstrong, MD

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1902225014
  NPD
• Genna Leetta Barnett, APN

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1063736551
  NPD
• Chelsey Darlene Benson, DNP, AG-ACNP

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
  • NPI 1003531583
  NPD
• Joshua Paul Black, APN

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1396120408
  NPD
• Samantha C Bougher, APN

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
  • NPI 1205728359
  NPD
• Abigail N Burroughs, APN

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
  • NPI 1215575113
  NPD
• Stevens Lee Chancey Jr., APN

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1437501368
  NPD
• Henry Guo Cheng, MD

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1669748638
  NPD
• John Michael Craig, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chattanooga, TN
  • NPI 1245459403
  NPD
• Cynthia L Cross, APN

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1184120677
  NPD
• Ingrid M Dutton -Fortuna, ARNP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1992900294
  NPD

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1851695480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1366",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374011366",
            "telephone_number": "423-697-2128",
            "fax_number": "423-697-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH CARE SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HEALTH CARE SYSTEM, INC.",
        "enumeration_date": "2010-12-22",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-697-2103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522630",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Heart Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naveed H Memon, MD
• Zara Sultan Memon, M.D.
• Memorial Health Care System Inc (Memorial Hospital Outpatient Pharmacy)
• Memorial Health Care System Inc. (Memorial Hospital)
• Memorial Health Care System Inc. (Memorial Hospital Home Health)
• Memorial Health Partners Foundation, Inc
• Memorial Heart Institute, LLC (The Chattanooga Heart Institute)
• Memories Made at Home Homecare LLC
• Emmanuela Mena, DDS
• Nadia Teresa Menaj, NP

• Cardiovascular Disease Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.