CRESTMOOR SURGICAL ASSOCIATES PLLC (NPI# 1013266303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013266303 |
| Entity Type | Organization |
| Organization Name | CRESTMOOR SURGICAL ASSOCIATES PLLC |
| Practice Address |
2103 Crestmoor Rd Nashville TN 37215-2614 |
| Practice Telephone | 6159212100 |
| Practice Fax Number | 6159212101 |
| Mailing Telephone | 6159212100 |
| Mailing Fax Number | 6159212101 |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | DR. JAMES J WENDEL (OWNER) |
| Authorized Official Telephone | 6159212100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36486 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1531362 | 05 |
| Street Address |
2103 CRESTMOOR RD |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477622 | Emily T Stewart | Internal Medicine | 2103 Crestmoor Rd, Nashville, TN 37215-2614 | 2006-07-12 |
| 1811329535 | Lori Veon Lankford | Nurse Practitioner | 2103 Crestmoor Rd, Nashville, TN 37215-2614 | 2013-08-05 |
| 1902927213 | Jennifer Paige Hastings | Nurse Practitioner | 2103 Crestmoor Rd, Nashville, TN 37215-2614 | 2007-04-03 |
| 1841387958 | James Jason Wendel | Plastic Surgery | 2103 Crestmoor Rd, Nashville, TN 37215 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053832121 | Top Flight Medical | Specialist | 301 28th Ave N Fl 1, Nashville, TN 37203-1439 | 2017-06-29 |
| 1942742655 | Sarah Keene | Specialist | 2401 Belmont Blvd, Nashville, TN 37212-5503 | 2016-11-11 |
| 1740640077 | Billy Johnson Jr. | Specialist | 417 Woodsman Ct, Nashville, TN 37214-4345 | 2016-02-29 |
| 1508246364 | Gertrude Stone Md Pllc | Specialist | 4230 Harding Pike Ste 801, Nashville, TN 37205-2018 | 2015-06-05 |
| 1487075248 | John Robert Schweikert | Specialist | 5913 Sedberry Rd, Nashville, TN 37205-3248 | 2013-12-21 |
| 1861836298 | 9 Months and Beyond, LLC | Specialist | 2803 Columbine Pl, Nashville, TN 37204-3103 | 2013-04-29 |
| 1942542238 | Marcia Jefferson | Specialist | 3810 Bedford Ave, Suite 120, Nashville, TN 37215-2514 | 2013-03-25 |
| 1366784720 | Cynthia C. Carter, LLC | Specialist | 2133 Belcourt Ave, Nashville, TN 37212-3503 | 2013-03-25 |
| 1740525989 | P3: Precision Physical Therapy & Pilates, LLC | Specialist | 3415 W End Ave Ste F, Nashville, TN 37203-1077 | 2012-11-28 |
| 1033475066 | Huiying Wang | Specialist | Vanderbilt Medical Center C-3321 Medical Center North, Nashville, TN 37232 | 2012-04-03 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.