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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
110 Francis St, Suite 9b, Boston, MA 022155501 | 6176329236 | |
2150 Pennsylvania Ave Nw Ste 6b, Washington, DC 200373201 | 9897080406 |
Street Address |
1211 21ST AVE S |
City | NASHVILLE |
State | TN |
Zip Code | 37212 |
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 |
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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 Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
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/. |
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 |
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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.