CHICKAMAUGA PEDIATRIC EMERGENCY PHYSICIANS
NPI 1518165018
Emergency Medicine in Chattanooga, TN

Q: What is Chickamauga Pediatric Emergency Physicians's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 05, 2007

910 BLACKFORD ST, CHATTANOOGA, TN 37403(423) 778-6101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chickamauga Pediatric Emergency Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICKAMAUGA PEDIATRIC EMERGENCY PHYSICIANS (NPI 1518165018) is a healthcare organization registered as an emergency medicine in Chattanooga, Tennessee and active in the NPI registry since July 2007. The organization lists Jennifer Provasnik, Supervisor Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1518165018

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameCHICKAMAUGA PEDIATRIC EMERGENCY PHYSICIANS

Location Address910 BLACKFORD STChattanooga, TN 37403-1405

Mailing AddressPo Box 13159Philadelphia, PA 19101-3159 · (800) 355-0808 · Fax (215) 834-2862

Phone(423) 778-6101

Organization SubpartNo

Authorized OfficialJennifer ProvasnikSupervisor Of Provider Enrollment · (800) 355-0808

Enumeration DateJuly 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518165018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

910 BLACKFORD ST, Chattanooga, TN 37403

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY JOSEPH CIAMPOLI DO

Student in an Organized Health Care Education/Training Program