Douglas L. Vanderbilt, M.D. ,P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7995 Issued in TN

Legal business name

DOUGLAS L. VANDERBILT, M.D. ,P.C.

Practice address

721 Glenwood Dr
Memorial Medical BLDG., West Suite 470
Chattanooga, TN 37404-1106

Phone

(423) 892-9208

Fax

(423) 892-9212

NPI assigned

Aug 5, 2007

Last updated

Feb 19, 2009By 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

Douglas L Vanderbilt, M.D.NPI 1528138534

Title

Owner

Phone

(423) 892-9200

Specialties & licenses 1

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.

• Douglas L Vanderbilt, MD

  • Surgery Physician
  • Chattanooga, TN
  • NPI 1528138534
  Authorized official Same address or phone

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1881885960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23371",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374223371",
            "telephone_number": "423-892-9208",
            "fax_number": "423-892-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "MEMORIAL MEDICAL BLDG., WEST SUITE 470",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-892-9208",
            "fax_number": "423-892-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. VANDERBILT, M.D. ,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "VANDERBILT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-892-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Haden Doty, M.D.
• Jesse F Doty, MD
• Stephanie B Doty, CRNA
• Samantha Christine Dotzler, CCC-SLP
• Tracy Dougherty, CCC-SLP
• Tenesha Douglas-Thomas, LPC/MHSP, NCC
• Candice Douglas
• Katy B Douglas, CRNA
• Michael Douglas, M.D.
• Austin Patrick Henry Dove, MD

• Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.