Pe Than Tin MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000011136 Issued in TN

Legal business name

PE THAN TIN MD PC

Practice address

930 Oak St
Chattanooga, TN 37403-2410

Phone

(423) 266-7392

NPI assigned

Aug 20, 2006

Last updated

Aug 7, 2008By 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. Pe Than Tin, MD

Title

Owner

Phone

(706) 866-3777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1942315866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032410",
            "telephone_number": "423-266-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032410",
            "telephone_number": "423-266-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PE THAN TIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "TIN",
        "authorized_official_first_name": "PE",
        "authorized_official_middle_name": "THAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-866-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000011136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP4377",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Payne
• Joseph P Payne, D.D.S.
• Paul Payne, D.D.S.
• Rebecca Jean Payne, FNP-BC
• Veronica Paz, PA-C
• Susan Peachey Smith, LLBSW
• Peak Family Dentistry PLLC
• Peak Fitness and Physical Therapy, PLLC (Peak Fitness and Physical Therapy)
• Katelyn Marie Peak, PA-C
• Taylor Peak, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.