MR. TIMOTHY KERWIN KRETH (NPI# 1679546717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679546717 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY KERWIN KRETH |
| Credential | M.D |
| Practice Address |
5651 Frist Blvd Suite 603 Hermitage TN 37076-2079 |
| Mailing Address |
5651 Frist Blvd 603 Hermitage TN 37076-2079 |
| Practice Telephone | 6158891968 |
| Practice Fax Number | 6158898527 |
| Mailing Telephone | 6158897891 |
| Mailing Fax Number | 6158898527 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14528 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
14528 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3705322 | 05 | |
| KY | 64083488 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 21st Ave N Ste 100, Nashville, TN 372031821 | 6153295144 | 6152842208 |
| Street Address |
5651 FRIST BLVD SUITE 603 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253638 | Brian C Beatty | Obstetrics & Gynecology | 5651 Frist Blvd, Ste 213, Hermitage, TN 37076-2056 | 2005-05-23 |
| 1740739747 | Mary Hackett | Nurse Practitioner | 5651 Frist Blvd, 603, Hermitage, TN 37076-2054 | 2016-10-02 |
| 1518360825 | Gabriela Alejandra Lee | Nurse Practitioner | 5651 Frist Blvd, Suite 712, Hermitage, TN 37076-2054 | 2014-09-30 |
| 1871992974 | Bryan Hack | Physical Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-08-14 |
| 1740693241 | Claire E Marple | Occupational Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-06-03 |
| 1851713267 | Laura Denning Kigweba | Physician Assistant | 5651 Frist Blvd, Suite 616, Hermitage, TN 37076-2054 | 2014-01-21 |
| 1790111383 | Nicole Pewitt Frye | Nurse Practitioner | 5651 Frist Blvd, Suite 414, Hermitage, TN 37076-2054 | 2013-09-16 |
| 1588001846 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Ste 200, Hermitage, TN 37076-2054 | 2013-05-28 |
| 1790024065 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Suite 409, Hermitage, TN 37076-2054 | 2013-02-06 |
| 1568713972 | Megan Michelle Matheson | Nurse Practitioner | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970021 | Donald S Crumbo | Internal Medicine | 5651 Frist Blvd, Suite 603, Hermitage, TN 37076-2054 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145456 | Cardiovascular & Vein Associates Pllc | Internal Medicine | 2785 Summer Oaks Dr, Bartlett, TN 38134-2883 | 2019-10-16 |
| 1063910529 | James Joseph Acker I | Internal Medicine | 205 Todaly Cir, Loudon, TN 37774-2990 | 2018-01-30 |
| 1215445192 | Cardiac Cin of Middle Tennessee LLC | Internal Medicine | 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 | 2018-01-13 |
| 1588172464 | Cardiac Cin of West Tennessee LLC | Internal Medicine | 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032 | 2018-01-13 |
| 1922520873 | Telemedico Physicians Professional Corporation | Internal Medicine | 5490 Shady Grove Ter, Memphis, TN 38120-2414 | 2017-07-12 |
| 1114455326 | Nashville Heart and Vascular | Internal Medicine | 397 Wallace Rd Ste C216, Nashville, TN 37211-8019 | 2017-06-01 |
| 1942631387 | Cvc Imaging LLC | Internal Medicine | 9203 Sheridan Park Ct, Brentwood, TN 37027-1748 | 2013-12-11 |
| 1730460718 | Ronald Craig Sebold | Internal Medicine | 7450 Chapman Hwy, #309, Knoxville, TN 37920-6614 | 2011-09-02 |
| 1467494070 | Apex Cardiology PC | Internal Medicine | 327 Summar Dr, Jackson, TN 38301-3930 | 2006-06-11 |
| 1700823960 | Thomas Little | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
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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.