JAY EDMUND SULEK (NPI# 1104187632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104187632 |
| Entity Type | Individual |
| Full Name | JAY EDMUND SULEK |
| Credential | M.D. |
| Practice Address |
1420 W Baddour Pkwy Ste 100 Lebanon TN 37087 |
| Mailing Address |
2801 Charlotte Ave Nashville TN 37209-4035 |
| Practice Telephone | 6154430202 |
| Practice Fax Number | 6154498708 |
| Mailing Telephone | 6152509200 |
| Mailing Fax Number | 6152509251 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 57371 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSE | 57371 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5651 Frist Blvd Ste 616, Hermitage, TN 370762060 | 6153914394 | 6153914491 |
| Street Address |
1420 W BADDOUR PKWY STE 100 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950547 | Stacey L Hall | Nurse Practitioner | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2018-11-09 |
| 1235655952 | Urology Associates PC | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871818880 | Daniel Lee | Urology | 735 Norman Dr Ste B, Lebanon, PA 17042-7559 | 2010-04-01 |
| 1184686107 | Madhukar R Patel | Urology | 815 Norman Dr, Lebanon, PA 17042-7445 | 2006-04-05 |
| 1902308331 | Lancaster Urology | Urology | 1510 Cornwall Rd, Lebanon, PA 17042-7479 | 2018-03-01 |
| 1235655952 | Urology Associates PC | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2017-08-15 |
| 1558749846 | Good Samaritan Physician Services | Urology | 735 Norman Dr, Suite B, Lebanon, PA 17042-7497 | 2015-05-07 |
| 1003293887 | Gina Nicole Tundo | Urology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-30 |
| 1578901195 | Michael Thomas Grant | Urology | One Medical Center Drive, Dartmouth Hitchcock - Urology, Lebanon, NH 03756-1000 | 2013-06-05 |
| 1033459854 | Spring View Physician Practice, LLC | Urology | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2013-02-15 |
| 1174862304 | Mid-valley Healthcare, Inc. | Urology | 100 Mullins Dr, Suite D-3, Lebanon, OR 97355-2868 | 2013-02-07 |
| 1245595180 | Mid-valley Healthcare, Inc. | Urology | 425 N Santiam Hwy, Suite 2a, Lebanon, OR 97355-4361 | 2012-07-06 |
| Find all providers in LEBANON | ||||
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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.