DR. MARK TEDDER (NPI# 1073516340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073516340 |
| Entity Type | Individual |
| Full Name | DR. MARK TEDDER |
| Credential | M.D. |
| Practice Address |
4230 Harding Pike Suite 430 Nashville TN 37205-2013 |
| Mailing Address |
501 Great Circle Rd Suite 200 Nashville TN 37228-1317 |
| Practice Telephone | 6153854781 |
| Practice Fax Number | 6153859265 |
| Mailing Telephone | 6152227685 |
| Mailing Fax Number | 6152227237 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD029206 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | AMERIGROUP | 01616927 | 01 |
| TN | CIGNA PPO | 8773249003 | 01 |
| TN | CIGNA HMO | 8773249004 | 01 |
| TN | RR MEDICARE | P01004440 | 01 |
| TN | BCBST | 4334022 | 01 |
| TN | UNITED HEALTHCARE | 1840022 | 01 |
| TN | AETNA HMO | 0995624 | 01 |
| TN | 3812958 | 05 | |
| TN | AETNA PPO | 5463506 | 01 |
| Street Address |
4230 HARDING PIKE SUITE 430 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37205-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645987 | Gateway Foot and Ankle Center, Plc | Durable Medical Equipment & Medical Supplies | 4230 Harding Pike, Suite G12, Nashville, TN 37205 | 2019-08-23 |
| 1598278566 | Billie Kathleen Lancaster | Nurse Practitioner | 4230 Harding Pike, Nashville, TN 37205-2013 | 2017-11-13 |
| 1265979405 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 4230 Harding Pike, Suite 503, Nashville, TN 37205-2013 | 2017-01-26 |
| 1023560406 | Liza Catherine Ellis | Nurse Practitioner | 4230 Harding Pike, Nashville, TN 37205-2013 | 2016-11-01 |
| 1528516911 | Ashley Wike | Nurse Practitioner | 4230 Harding Pike, Suite 330, Nashville, TN 37205-2013 | 2016-09-14 |
| 1548715147 | Catherine Wiley Lane | Nurse Practitioner | 4230 Harding Pike, Suite 435, Nashville, TN 37205-2013 | 2016-08-24 |
| 1790137727 | Margaret M Dunlap | Audiologist-Hearing Aid Fitter | 4230 Harding Pike, Suite 400, Nashville, TN 37205-2013 | 2016-07-01 |
| 1053768218 | Virginia H Milazo | Nurse Practitioner | 4230 Harding Pike, Suite 330, Nashville, TN 37205 | 2016-05-18 |
| 1992152227 | Tia Mefford | Nurse Practitioner | 4230 Harding Pike, Suite 503, Nashville, TN 37205-2013 | 2016-05-17 |
| 1619321486 | Kara Anderson | Nurse Practitioner | 4230 Harding Pike, Suite 435, Nashville, TN 37205-2013 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
| 1487129508 | The Counseling Center At Belle Meade United Methodist Church, LLC | Counselor | Counseling Center At Belle Meade Umc, 121 Davidson Road, Nashville, TN 37205 | 2018-10-04 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1114323284 | Caroline Rhett Hartman | Counselor | 85 White Bridge Road, Ste 302, Nashville, TN 37205 | 2014-11-17 |
| 1619316387 | Sarah Jane Grayce | Psychiatry & Neurology | 85 White Bridge Rd Ste 302, Nashville, TN 37205 | 2013-06-17 |
| 1902142920 | Smita K Rao | Genetic Counselor, MS | 4220 Harding Pike Ste 200, Nashville, TN 37205 | 2012-12-19 |
| 1225386154 | Jessica Blain Trumble | Registered Nurse | 204 Carden Ave, Nashville, TN 37205 | 2012-08-27 |
| 1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
| 1184998064 | Christopher Snider | Specialist/Technologist, Other | 738 Templeton Dr, Nashville, TN 37205 | 2012-02-24 |
| Find all providers in zip 37205 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811146988 | Denis Michael Gilmore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2400 Patterson St Ste 215, Nashville, TN 37203 | 2008-09-15 |
| 1063698637 | Davis C. Drinkwater, Md, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4390 Chickering Ln, Nashville, TN 37215-4920 | 2008-01-14 |
| 1780728089 | Phillip Pendleton Brown I | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 518 Park Center Ave, Nashville, TN 37205-3430 | 2007-02-19 |
| 1184657272 | Eric Shawn Lambright | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3601 Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-07-09 |
| 1639116379 | Lifford L Lancaster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3443 Dickerson Pike Ste 400, Nashville, TN 37207-2524 | 2006-06-01 |
| 1497164727 | Matthew Robert Danter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2014-08-12 |
| 1841621273 | William H Frist Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2908 Poston Ave, C/o Deborah A. Kolarich, Cpa, Nashville, TN 37203-1312 | 2013-12-11 |
| 1699031591 | Amber Melvin Edwards | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2012-04-04 |
| 1710276241 | Jordan Hoffman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4229 | 2011-04-05 |
| 1124345574 | William Gourdin Mcmaster Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4701 | 2010-04-26 |
| 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.