TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC (NPI# 1679835623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679835623 |
| Entity Type | Organization |
| Organization Name | TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC |
| Practice Address |
330 23rd Ave N Suite 300 Nashville TN 37203-1522 |
| Mailing Address |
330 23rd Ave N Suite 150 Nashville TN 37203-1522 |
| Practice Telephone | 6153426800 |
| Practice Fax Number | 6153426810 |
| Mailing Telephone | 6153426800 |
| Mailing Fax Number | 6153426810 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | GARY DUNCAN (VICE PRESIDENT) |
| Authorized Official Telephone | 6158864969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
330 23RD AVE N SUITE 300 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142363 | Melissa G Reynolds | Obstetrics & Gynecology | 330 23rd Ave N, Suite 604, Nashville, TN 37203-1534 | 2005-05-23 |
| 1477051027 | Michele C Darbonne | Nurse Practitioner | 330 23rd Ave N, Nashville, TN 37203-1534 | 2018-01-30 |
| 1982146361 | Pain Management of Middle Tennessee Pllc | Durable Medical Equipment & Medical Supplies | 330 23rd Ave N, Suite 130, Nashville, TN 37203-1534 | 2016-11-16 |
| 1528514718 | Amy Ziliak | Nurse Practitioner | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2016-08-29 |
| 1861869596 | Tristar Bone Marrow Transplant, LLC | Physician Assistant | 330 23rd Ave N, Suite 280, Nashville, TN 37203-1534 | 2015-08-28 |
| 1427470913 | Misty D. Evans | Nurse Practitioner | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2014-01-17 |
| 1801239603 | William Heath Frazier | Registered Nurse | 330 23rd Ave N, Suit 350, Nashville, TN 37203-1534 | 2013-04-10 |
| 1689914756 | Womens and Childrens Specialists, LLC | Internal Medicine | 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | 2013-02-26 |
| 1871839878 | Elizabeth A Baumstark | Nurse Practitioner | 330 23rd Ave N, Suite 300, Nashville, TN 37203-1534 | 2012-12-19 |
| 1003152208 | Tristar Gynecology Oncology, LLC | Nurse Practitioner | 330 23rd Ave N, Suite 600, Nashville, TN 37203-1534 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1649706789 | Kathleen M Pollard | Internal Medicine | 30601 The Vanderbilt Clinic, Nashville, TN 37232-1447 | 2017-05-11 |
| 1780129858 | Mark Edwin Frisse | Internal Medicine | 3707 Wimbledon Rd, Nashville, TN 37215-1819 | 2016-12-28 |
| 1821548280 | Tristar Medical Group - Legacy Health, LLC | Internal Medicine | 2400 Patterson Street, Suite 418, Nashville, TN 37203-1575 | 2016-10-10 |
| 1346695608 | Jacob Franco | Internal Medicine | 719 Thompson Lane, Suite 30330, Nashville, TN 37204-3150 | 2016-04-25 |
| 1578917811 | Susanna Awoyode | Internal Medicine | 1005 Dr. D.b. Todd Junior Boulevard., Nashville, TN 37208 | 2016-04-22 |
| 1215381868 | Angela Chen | Internal Medicine | 719 Thompson Ln Fl 2, Nashville, TN 37204-3609 | 2016-04-20 |
| 1487008496 | Imran Huda | Internal Medicine | 4230 Harding Pike Ste 201, Nashville, TN 37205-6047 | 2016-04-15 |
| 1215323357 | Nichelle Irene Winters | Internal Medicine | 2215 Garland Ave, D-3100, Medical Center North, Nashville, TN 37232-2358 | 2015-04-15 |
| 1790171544 | Gerald Obinna Onuoha II | Internal Medicine | 1037 31st Ave N Apt B, Nashville, TN 37209-2601 | 2015-04-08 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC.
| 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.