DR. STEPHEN PAUL GONDEK


Address: 1211 21st Ave S, Nashville, TN 37212
Phone: 6159360189

DR. STEPHEN PAUL GONDEK (NPI# 1376770016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376770016
Entity Type Individual
Full Name DR. STEPHEN PAUL GONDEK
Credential M.D.
Practice Address 1211 21st Ave S
Nashville
TN 37212
Mailing Address 719 Thompson Ln Ste 30330
Nashville
TN 37204-4701
Practice Telephone 6159360189
Mailing Telephone 6159362000
Enumeration Date 2009-06-21
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0127X Surgery
Specialization: Trauma Surgery
52302 TN Allopathic & Osteopathic Physicians
Y 2086S0127X Surgery
Specialization: Trauma Surgery
MD044176 DC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Francis St, Suite 9b, Boston, MA 022155501 6176329236
2150 Pennsylvania Ave Nw Ste 6b, Washington, DC 200373201 9897080406

Office Location

Street Address 1211 21ST AVE S
City NASHVILLE
State TN
Zip Code 37212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821060435 John Matthew Corey Anesthesiology 1211 21st Ave S, Medical Arts Building, Room 701, Nashville, TN 37212-2717 2006-02-07
1891319190 Kayley Ray Lynd Dietitian, Registered 1211 21st Ave S, Nashville, TN 37212-2717 2020-06-02
1902382609 Cynthia C Conrath Dietitian, Registered 1211 21st Ave S, Nashville, TN 37212-2717 2018-07-16
1780160895 Jennifer Coltharp Dietitian, Registered 1211 21st Ave S, Nashville, TN 37232-1320 2018-07-12
1437688504 Jean Wang Wassenaar Student in an Organized Health Care Education/Training Program 1211 21st Ave S, Nashville, TN 37212-2717 2017-06-12
1689100018 Andre Robert Lamothe Dentist 1211 21st Ave S, Suite 332, Mab, Nashville, TN 37212-2717 2017-05-04
1023544467 Tomasz Czechura Student in an Organized Health Care Education/Training Program 1211 21st Ave S, Suite 332, Mab, Nashville, TN 37212-2717 2017-05-04
1073971842 Alexandria Spidalieri Behavioral Analyst 1211 21st Ave S, Mab Suite 110, Nashville, TN 37212-2717 2016-02-08
1407233968 Lindsey Franks Social Worker 1211 21st Ave S, Medical Arts Building, Suite 220, Nashville, TN 37212-2717 2015-05-04
1265857916 Ellen Strickler Dietitian, Registered 1211 21st Ave S, 607 Medical Arts Building, Nashville, TN 37232-1320 2014-03-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063063204 Nichole Sherwood Pharmacist 1314 24th Avenue S, Nashville, TN 37212 2019-09-27
1710460795 Samantha Catherine Beretta Counselor 1710 17th Ave S, Nashville, TN 37212 2018-09-14
1417482449 Elise Stephenson Scott Student in an Organized Health Care Education/Training Program 1601 21st Avenue South, Room 3106, Nashville, TN 37212 2017-04-27
1851848410 Tracy Wehby Nurse Practitioner 2323 21st Ave S 3rd Floor, Nashville, TN 37212 2016-09-01
1821544578 Lisa Malone Acupuncturist 1615 Horton Ave, Nashville, TN 37212 2016-08-31
1568836518 Anna Ezell Social Worker 1414 17th Ave S, Nashville, TN 37212 2015-11-13
1427437789 Ryan Castoro Physical Medicine & Rehabilitation 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 2015-05-20
1730567900 Khushbu Shah Student in an Organized Health Care Education/Training Program 1601 23rd Ave S Rm 3106, Nashville, TN 37212 2015-05-08
1295160760 Jacqueline Klaver Clinical Neuropsychologist 2200 21st Ave S Ste 300, Nashville, TN 37212 2013-09-03
1992145577 Leslie Walls Binford Nurse Practitioner 2021 21st Ave S Ste 410, Nashville, TN 37212 2013-06-27
Find all providers in zip 37212

Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861055964 Brian J Thompson Surgery 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 2019-04-15
1417393489 Michael Scott Lallemand Surgery 3601 The Vanderbilt Clinic, Nashville, TN 37232-1000 2013-05-17
1083956486 Keelin Flannery Roche Surgery 3601 The Vanderbilt Clinic, Nashville, TN 37232-2635 2013-03-23
1689921496 Ronnie N. Mubang Surgery 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 2012-08-10
1164626594 Michael Joseph Krzyzaniak Surgery 1211 21st Ave S, 404 Medical Arts Building, Nashville, TN 37212-2717 2007-06-11
1558445668 Richard Miller Surgery 3601 Tvc, Nashville, TN 37232-0001 2006-10-25
1972687077 Oscar Guillamondegui Surgery 3601 Tvc, Nashville, TN 37232-0001 2006-10-25
1912094012 Jeffrey Guy Surgery 3601 Tvc, Nashville, TN 37232-0001 2006-10-09
1245327360 Bryan Cotton Surgery 3601 Tvc, Nashville, TN 37232-0001 2006-10-09
1194817528 John Morris Jr. Surgery 3601 Tvc, Nashville, TN 37232-0001 2006-09-30
Find all providers in NASHVILLE

Competitor

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City NASHVILLE
Zip Code 37212

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Dataset Information

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.

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