EASTSIDE INTERNAL MEDICINE PC NPI 1427112259

NPI Information

  • NPI: 1427112259
  • Provider Name: EASTSIDE INTERNAL MEDICINE PC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1720 GUNBARREL ROAD
    SUITE 206
    CHATTANOOGA, TN
    ZIP 37421
  • Phone: (423) 648-8110

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NPI Details

EASTSIDE INTERNAL MEDICINE PC is a health service clinic center in Chattanooga, TN. EASTSIDE INTERNAL MEDICINE PC NPI is 1427112259. The provider is registered as an organization entity type.

The provider's business location address is:

1720 GUNBARREL ROAD
SUITE 206
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 648-8110
Fax: (423) 443-4297

The provider's authorized official is Roger Alay .
The authorized official title is Office Manager and has the following contact phone number (423) 648-8110.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 10/12/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service31560TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13888401MEDICARE PIN
23888401MEDICAIDTENNESSEE
3G99682MEDICARE UPIN

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: 11/21/2025

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