PLAZA SURGERY G.P. NPI 1497750400

NPI Information

  • NPI: 1497750400
  • Provider Name: PLAZA SURGERY, G.P.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 979 E 3RD ST
    CHATTANOOGA, TN
    ZIP 37403
  • Phone: (423) 778-3192

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NPI Details

PLAZA SURGERY, G.P. is an ambulatory surgical clinic center in Chattanooga, TN. PLAZA SURGERY, G.P. NPI is 1497750400. The provider is registered as an organization entity type.

The provider's business location address is:

979 E 3RD ST
CHATTANOOGA, TN
ZIP 37403-136
Phone: (423) 778-3192
Fax: (423) 778-2164

The provider's authorized official is Dawn Hurst .
The authorized official title is Business Office Manager and has the following contact phone number (423) 778-3192.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 12/19/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0000000135TENNESSEEYes

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
13288588MEDICARE ID-TYPE UNSPECIFIED
26800041OTHERUNITED HEALTHCARE
34015206OTHERTENNESSEEBC/BS OF TN
43288588MEDICAIDTENNESSEE

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: 3/30/2025

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