NPIMap

Organization Active NPI

Stephen V. Dreskin MD PC

Doing business as TN Valley Pain Management

  • Pain Medicine Physician
  • Cleveland, TN
National Provider Identifier
1972770063
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
26298 Issued in TN
Legal business name
STEPHEN V. DRESKIN MD PC
Doing business as
TN Valley Pain Management
Practice address
2700 Westside Dr NW
Suite 306
Cleveland, TN 37312-3699
Phone
(423) 664-4635
Fax
(423) 664-4640
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mrs. Carol S Clapp, EMT, CMA, CPC
Title
Billing Manager
Phone
(423) 664-4635

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 26298 TN Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 26240 TN

Addresses

Primary practice location

2700 Westside Dr NW
Suite 306
Cleveland, TN 37312-3699

Mailing address

1949 Gunbarrel Rd
Suite 125
Chattanooga, TN 37421-3188
Phone (423) 664-4635

Other identifiers 4

IdentifierTypeStateIssuer
3882406MedicaidTN
3088189MedicaidTN
3671003MedicaidTN
3642504MedicaidTN

Other names 1

  • TN Valley Pain Management Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1035848Stephen V Dreskin MD PC2700 Westside Dr, Suite 306, Cleveland, TN 37312Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory

Locations

1949 Gunbarrel Rd
Ste 125
Chattanooga, TN 37421
Phone (423) 424-3696

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 664-4635

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1972770063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "address_2": "SUITE 125",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTSIDE DR NW",
            "address_2": "SUITE 306",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123699",
            "telephone_number": "423-664-4635",
            "fax_number": "423-664-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN V. DRESKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-664-4635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT, CMA, CPC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "26298",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "26240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882406",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088189",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3671003",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642504",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TN Valley Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.