Provider Demographics
NPI:1861547622
Name:MARTINEZ, CATHERINE MEITIN (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MEITIN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:MEITIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:725 GLENWOOD DR
Mailing Address - Street 2:SUITE E-500
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1163
Mailing Address - Country:US
Mailing Address - Phone:423-495-2635
Mailing Address - Fax:423-495-2638
Practice Address - Street 1:725 GLENWOOD DR
Practice Address - Street 2:SUITE E-500
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1163
Practice Address - Country:US
Practice Address - Phone:423-495-2635
Practice Address - Fax:423-495-2638
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43576207RP1001X
TXL9343207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1506476Medicaid
TX170898401Medicaid
TXG56548Medicare UPIN
TX8C9223Medicare ID - Type Unspecified
TN1506476Medicaid
G56548Medicare UPIN