SUSHRI M MISHRA (NPI# 1588690168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588690168 |
| Entity Type | Individual |
| Full Name | SUSHRI M MISHRA |
| Credential | MD |
| Practice Address |
6748 Charlotte Pike Nashville TN 37209-3720 |
| Mailing Address |
210 Franklin Rd Suite 4-b Brentwood TN 37027-3218 |
| Practice Telephone | 6156479005 |
| Mailing Telephone | 6159646160 |
| Mailing Fax Number | 6159646120 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 36632 | TN | Allopathic & Osteopathic Physicians |
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
36632 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1512238 | 05 | |
| TN | 4064788 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 Franklin Rd, Suite 4-b, Brentwood, TN 370273218 | 6159646160 | 6159646120 |
| Street Address |
6748 CHARLOTTE PIKE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37209-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930194 | Results-ast Jv, LLC | Physical Therapist | 6816 Charlotte Pike, Suite 103, Nashville, TN 37209 | 2020-10-21 |
| 1215564216 | Mercedes Ann Wirdzek | Registered Nurse | Metro Nashville Public Health, 2500 Charlotte Ave, Nashville, TN 37209 | 2020-03-27 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1588158455 | Tonya Melton | Nurse Practitioner | 1028 Mountain Valley Lane, Nashville, TN 37209 | 2018-06-14 |
| 1740796515 | Jill C Collins, LLC | Behavioral Analyst | 6339 Charlotte Pike # 507, Nashville, TN 37209 | 2017-12-15 |
| 1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1073921656 | Malinda Davenport Crisp | Counselor | 6300 Charlotte Ave., Nashville, TN 37209 | 2014-07-28 |
| Find all providers in zip 37209 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942357942 | Jill Wallner | Family Medicine | 58 W First St, Suite 101, Crossville, TN 38555-4443 | 2007-01-04 |
| 1578819033 | Ingram Co | Family Medicine | 367 Riverside Dr, Franklin, TN 37064-8984 | 2012-08-01 |
| 1619187689 | Kesha James | Family Medicine | 7625 Us Highway 64, Suite 107, Memphis, TN 38133-4066 | 2007-05-22 |
| 1205860475 | Jackson Madison County General Hospital | Family Medicine | 186 Hospital Dr, Camden, TN 38320-1618 | 2006-07-11 |
| 1912931189 | Jackson Madison County General Hospital | Family Medicine | 216 E Main St, Bradford, TN 38316-8651 | 2006-07-11 |
| 1558395723 | Jackson Madison County General Hospital | Family Medicine | 2569 N Washington Ave, Brownsville, TN 38012-1610 | 2006-07-11 |
Please comment or provide details below to improve the information on SUSHRI M MISHRA.
| 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.