CHARLES ELLIS BALENTINE (NPI# 1164936878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164936878 |
| Entity Type | Individual |
| Full Name | CHARLES ELLIS BALENTINE |
| Practice Address |
315 Deaderick St Ste 1550 Nashville TN 37238-3003 |
| Mailing Address |
100 Higginson Pl N Gallatin TN 37066-6086 |
| Practice Telephone | 6155214380 |
| Practice Fax Number | 6155214380 |
| Mailing Telephone | 6155214380 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
44D2125377 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSURE/LAB (CMS) | 44D2125377 | 01 |
| Street Address |
315 DEADERICK ST STE 1550 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37238-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497269120 | Pinnacle Biolabs LLC | Clinical Medical Laboratory | 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124618 | Department of Intellectual and Developmental Disabilities, State of Tn | Exclusive Provider Organization | 315 Deaderick St Fl 8, Nashville, TN 37238-3000 | 2020-05-05 |
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1215445192 | Cardiac Cin of Middle Tennessee LLC | Internal Medicine | 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 | 2018-01-13 |
| 1396885653 | Angela Gayle Walk | Chiropractor | 315 Deaderick St, Suite 120, Nashville, TN 37238-3000 | 2007-02-07 |
| 1518420272 | Stn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1881157543 | Stn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1629531389 | Otn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1922561679 | Otn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1356804090 | Ctn Care of Tn, LLC | Internal Medicine | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| Find all providers in zip 37238 | ||||
| Taxonomy Code | 246QL0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Laboratory Management |
| Definition to come... |
Please comment or provide details below to improve the information on CHARLES ELLIS BALENTINE.
| 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.