Organization
PLAZA UROLOGY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY SCHEINBERG M.D. (PRESIDENT)
(423) 756-7860
Entity
Organization
Contact information
Practice address
1300 CLEVELAND AVE, CHATTANOOGA, TN 37404-2005
(423) 756-7860
Mailing address
1300 CLEVELAND AVE, CHATTANOOGA, TN 37404-2005
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00235628A
—
GA
05
—
003714181A
—
GA
05
—
00575341A
—
GA
01
—
340003880
RAIL ROAD MEDICARE
—
01
—
340007732
RAIL ROAD MEDICARE
—
01
—
340013888
RAIL ROAD MEDICARE
—
05
—
640896503A
—
GA
05
—
895428138A
—
GA
01
—
P00031711
RAIL ROAD MEDICARE
—
01
—
P00255345
RAIL ROAD MEDICARE
—
Enumeration date
07/10/2007
Last updated
09/07/2007
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