MARYLAND IOM, LLC (NPI# 1053631341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053631341 |
| Entity Type | Organization |
| Organization Name | MARYLAND IOM, LLC |
| Practice Address |
700 12th Ave S Suite 306 Nashville TN 37203-3367 |
| Mailing Address |
Po Box 682913 Suite 306 Franklin TN 37068-2913 |
| Practice Telephone | 8773963161 |
| Practice Fax Number | 6154571447 |
| Mailing Telephone | 8773963161 |
| Mailing Fax Number | 6154571447 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | MR. BRIAN MCCOLLUM (PRESIDENT & CEO) |
| Authorized Official Telephone | 8773963161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
700 12TH AVE S SUITE 306 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346668 | Gregory Vaden Hedgepeth | Specialist/Technologist, Other | 700 12th Ave S, Ste 306, Nashville, TN 37203-3304 | 2005-12-12 |
| 1043618432 | Ps Maryland Iom, LLC | Clinic/Center | 700 12th Ave S, Suite 306, Nashville, TN 37203-3367 | 2014-12-17 |
| 1326330515 | Connecticut Iom LLC | Clinic/Center | 700 12th Ave S, Suite 306, Nashville, TN 37203-3304 | 2011-05-06 |
| 1942505508 | Daniel Peter Cignoli | Specialist/Technologist, Other | 700 12th Ave S, Ste 306, Nashville, TN 37203-3304 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891069555 | Hrc Medical Centers Inc | Clinic/Center | 301 14th Ave N, Nashville, TN 37203-3416 | 2012-02-28 |
| 1104105873 | Swan Urogynecology, PC | Clinic/Center | 329 21st Avenue North, Suite 1, Nashville, TN 37203-1857 | 2011-08-11 |
| 1508173204 | Portland Iom, LLC | Clinic/Center | Dc2 209 10th Ave S, Suite 232, Nashville, TN 37203 | 2010-09-02 |
| 1790211332 | Vitality Wellness, Pllc | Clinic/Center | 125 Belle Forest Cir, Suite 100, Nashville, TN 37221-2126 | 2017-05-02 |
| 1487023859 | The Start Center | Clinic/Center | 1915 1/2 Church Street, Nashville, TN 37203 | 2015-09-16 |
| 1043618432 | Ps Maryland Iom, LLC | Clinic/Center | 700 12th Ave S, Suite 306, Nashville, TN 37203-3367 | 2014-12-17 |
| 1225300908 | Swan Urogynecology PC | Clinic/Center | 3443 Dickerson Pike, Suite 360, Nashville, TN 37207-2519 | 2012-01-27 |
| 1629361944 | Infinity Iom LLC | Clinic/Center | 209 10th Ave S, Suite 411, Nashville, TN 37203-4144 | 2011-05-19 |
| 1326330515 | Connecticut Iom LLC | Clinic/Center | 700 12th Ave S, Suite 306, Nashville, TN 37203-3304 | 2011-05-06 |
| 1710277140 | Las Vegas Iom LLC | Clinic/Center | 209 10th Ave S, Suite 411, Nashville, TN 37203-4144 | 2011-04-19 |
| 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.