Basic Information
| Provider Information | |||||||||
| NPI: | 1679591143 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRAMONTANA | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 DODDS AVE | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374043911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4238268220 | ||||||||
| FaxNumber: | 4236983622 | ||||||||
| Practice Location | |||||||||
| Address1: | 990 OAK RIDGE TPKE | ||||||||
| Address2: | |||||||||
| City: | OAK RIDGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378306976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8658354600 | ||||||||
| FaxNumber: | 8658354609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 02/21/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 18627 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2085R0202X | 43100 | TN | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 100055639 | 01 | TN | PHP-TNCARE | OTHER | 1882429 | 01 | TN | FIRST HEALTH | OTHER | 7100041330 | 05 | KY | MEDICAID | 3001448 | 05 | TN | MEDICAID | 702064735 | 01 | TN | PHP | OTHER | 3262740 | 01 | TN | CIGNA | OTHER | 418352 | 01 | TN | BCBS | OTHER | 4183592 | 01 | TN | BCBS OF TN | OTHER |