Peter Roger Deversa MD PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PETER ROGER DEVERSA MD PLLC

Practice address

709 Walnut St
Chattanooga, TN 37402-1916

Phone

(423) 643-2576

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Peter Roger Deversa, MD

Title

Sole Member

Phone

(423) 802-0607

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Michelle Whitley Dooley, M.D.

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1063532992
  NPD (past)
• Jalila Hudson, MD

  • Hospitalist Physician
  • Franklin, TN
  • NPI 1598773889
  NPD (past)
• Jason Lee, M.D.

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1295868966
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1902102502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE B-1001",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-643-2576",
            "fax_number": "423-648-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 WALNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021916",
            "telephone_number": "423-643-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ROGER DEVERSA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "DEVERSA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "423-802-0607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladana Persinger, RN
• Personal Medicine LLC
• Personalized Healthcare for Women LLC
• Richard Pesce, MD
• Steven D Petarra, M.D.
• Jason Paul Peter, APRN, FNP-BC
• Alice Peters
• Brandon Peters
• Richard A Peters, MD
• Shanel Sandra Peters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.