JEFFREY SANDS LODGE (NPI# 1407931504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407931504 |
| Entity Type | Individual |
| Full Name | JEFFREY SANDS LODGE |
| Credential | MD |
| Practice Address |
1804 Williamson Ct Suite 208 Brentwood TN 37027-8170 |
| Practice Telephone | 6156906600 |
| Practice Fax Number | 6156906604 |
| Mailing Telephone | 6156906600 |
| Mailing Fax Number | 6156906604 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD0000026575 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNCARE SELECT | 4096252 | 01 |
| TN | BLUE CROSS OF TN | 4096252 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740489632 | Jeffrey Donn Lodge | Psychiatry & Neurology | 340 S Broadway St, Akron, OH 44308-1529 | 2007-07-12 |
| Street Address |
1804 WILLIAMSON CT SUITE 208 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043598774 | Align Health & Wellness, LLC | Chiropractor | 1804 Williamson Ct, Ste 108, Brentwood, TN 37027 | 2011-07-29 |
| 1700107547 | Revive Md | Obstetrics & Gynecology | 1804 Williamson Ct, Suite 107, Brentwood, TN 37027-8170 | 2010-06-16 |
| 1043545098 | Robin Leigh Frazier | Reflexologist | 1804 Williamson Ct, Brentwood, TN 37027-8170 | 2009-10-08 |
| 1982863403 | Cool Springs Obstetrics & Gynecology, P.C. | Specialist | 1804 Williamson Ct, Suite 208, Brentwood, TN 37027-8170 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275084477 | Dennis Weaver | Obstetrics & Gynecology | 9529 Sanctuary Pl, Brentwood, TN 37027-8499 | 2016-10-23 |
| 1962817858 | Interboro Services, Inc. | Obstetrics & Gynecology | 42 First St, Brentwood, NY 11717 | 2014-06-30 |
| 1972923670 | Hannah Dudney | Obstetrics & Gynecology | 343 Franklin Rd Ste 106, Brentwood, TN 37027 | 2014-04-21 |
| 1376808782 | George William Bates | Obstetrics & Gynecology | 100 Winners Circle N, Suite 450, Brentwood, TN 37027 | 2012-07-11 |
| 1164670576 | Carolyn Negley Wester | Obstetrics & Gynecology | 404 Hunterwood Ct, Brentwood, TN 37027-5439 | 2008-08-28 |
| 1336361831 | Joseph Xerri Md Pllc | Obstetrics & Gynecology | 600c Suffolk Avenue, Brentwood, NY 11717 | 2007-05-03 |
| 1225037856 | Charles Buhse | Obstetrics & Gynecology | 330 Seven Springs Way, Suite 204, Brentwood, TN 37027-5098 | 2005-07-15 |
| 1073516225 | Roy P Burch Jr. | Obstetrics & Gynecology | 343 Franklin Rd, Ste 108, Brentwood, TN 37027-5250 | 2005-05-23 |
| 1710478466 | Centennial Womens Group, LLC | Obstetrics & Gynecology | 343 Franklin Rd Ste 106, Brentwood, TN 37027-5250 | 2018-05-29 |
| 1871684217 | Bernadette J Meadors | Obstetrics & Gynecology | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2006-09-28 |
| Find all providers in BRENTWOOD | ||||
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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.