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PARKRIDGE EAST SPECIALTY ASSOCIATES LLC NPI 1760424949


NPI Information

NPI: 1760424949
Provider Name: PARKRIDGE EAST SPECIALTY ASSOCIATES LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 44D1003168

Address:
961 SPRING CREEK RD
SUITE 300
CHATTANOOGA, TN
ZIP 37412
Phone: (423) 892-5013
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PARKRIDGE EAST SPECIALTY ASSOCIATES LLC is a cardiovascular disease internal medicine in Chattanooga, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PARKRIDGE EAST SPECIALTY ASSOCIATES LLC NPI is 1760424949. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

961 SPRING CREEK RD
SUITE 300
CHATTANOOGA, TN
ZIP 37412-909
Phone: (423) 892-5013

The provider's authorized official is Jeff Rydburg .
The authorized official title is Vp and has the following contact phone number (615) 373-7415.

The CLIA number assigned to this NPI record is 44D1003168 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13736489MEDICAIDTENNESSEE
23736489MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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