MEDICARE: JOSEPH MOTTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	14144	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0025162	OTHER	TN	BLUECROSS BLUESHILED

General Provider Information

NPI Number	:	1942298732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MOTTO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 23503
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37422-3503
Country	:	US
Telephone Number	:	423-443-3524
Fax Number	:	423-899-5632

Provider Business Practice Location Address
First Line	:	4355 HIGHWAY 58
Second Line	:	SUITE 107A
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-2939
Country	:	US
Telephone Number	:	423-443-3524
Fax Number	:	423-899-5632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/29/2010

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Directions to “ JOSEPH MOTTO M.D.” Practice Location

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