Provider Demographics
NPI:1952379455
Name:CHATTANOOGA ONCOLOGY AND HEMATOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:CHATTANOOGA ONCOLOGY AND HEMATOLOGY ASSOCIATES
Other - Org Name:COHA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARROWSMITH, M.D.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-698-1844
Mailing Address - Street 1:605 GLENWOOD DRIVE
Mailing Address - Street 2:STE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1130
Mailing Address - Country:US
Mailing Address - Phone:423-698-1844
Mailing Address - Fax:423-624-2226
Practice Address - Street 1:605 GLENWOOD DRIVE
Practice Address - Street 2:STE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1130
Practice Address - Country:US
Practice Address - Phone:423-698-1844
Practice Address - Fax:423-624-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3388541Medicaid
CA7999OtherRAILROAD MEDICARE
0882270001Medicare NSC
TN3388541Medicare PIN
CA7999OtherRAILROAD MEDICARE