JACKSON DANIEL COTHREN (NPI# 1104829340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104829340 |
| Entity Type | Individual |
| Full Name | JACKSON DANIEL COTHREN |
| Credential | MD |
| Practice Address |
345 23rd Avenue North Suite #209 Nashville TN 37203 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6153299082 |
| Practice Fax Number | 6153292423 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD6483 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q009775 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 6066853 | 01 |
| Street Address |
345 23RD AVENUE NORTH SUITE #209 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124243290 | The Womens Center | Obstetrics & Gynecology | 419 Welshwood Dr, Nashville, TN 37211-4206 | 2007-04-16 |
| 1295817591 | Divina T. Po | Obstetrics & Gynecology | 3443 Dickerson Pike Ste 260, Nashville, TN 37207-2534 | 2006-10-19 |
| 1003819046 | Barbara H Nylander | Obstetrics & Gynecology | 345 23rd Ave N, Suite 209, Nashville, TN 37203-1513 | 2005-05-23 |
| 1972981975 | Olga Muldoon | Obstetrics & Gynecology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0642 | 2015-05-11 |
| 1992182034 | Tobias Bjerre Limperg | Obstetrics & Gynecology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1631 | 2015-04-28 |
| 1104211077 | Katherine Chaves | Obstetrics & Gynecology | 1161 21st Ave South, R-1200 Medical Center North, Nashville, TN 37232-3723 | 2015-03-30 |
| 1770912875 | Larry D. Gurley, M.d. | Obstetrics & Gynecology | 300 20th Ave N, #102, Nashville, TN 37203-2131 | 2013-11-08 |
| 1720399587 | Lara Frances Bratcher Harvey | Obstetrics & Gynecology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-06-27 |
| 1336399211 | Jill F. Chambers M.d. P.C. | Obstetrics & Gynecology | 2201 Murphy Ave, Suite 407, Nashville, TN 37203-1835 | 2008-09-26 |
| 1558538751 | Renee Melva Ward | Obstetrics & Gynecology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2008-05-15 |
| 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.