George Chacko, MD

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

MD26791 Issued in TN

Practice address

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Phone

(865) 544-9060

Fax

(865) 544-8435

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992708119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 KINGSTON PIKE",
            "address_2": "STE 540",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195054",
            "telephone_number": "865-584-7376",
            "fax_number": "865-584-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-9060",
            "fax_number": "865-544-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TN",
            "license": "MD26791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerwell Health Services USA, LLC
• Cerebral Palsy Center for Handicapped Adults, Inc.
• Cerebrum TN PLLC
• Edyth Patricia Cerone, NP
• Luis Felipe Cervera, MD
• Jessica Lauren Chadwell, PTA
• Emily Nicole Chadwick, MA
• Joyce Chadwick, RN
• Benjamin Seth Chaffins, FNP-BC
• Dakota James Chaffins

• Nuclear Radiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nuclear Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.