DR. SYED AHMED NASEERUDDIN (NPI# 1760599575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760599575 |
| Entity Type | Individual |
| Full Name | DR. SYED AHMED NASEERUDDIN |
| Credential | MD |
| Practice Address |
137 Village Way Clarksville TN 37043-5458 |
| Practice Telephone | 6152295579 |
| Practice Fax Number | 9315421308 |
| Mailing Telephone | 6152295579 |
| Mailing Fax Number | 9319194898 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 45618 | KY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 45045 | TN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
67046 | GA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036.127417 | IL | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
45045 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1514009 | 05 | |
| TN | RR MEDICARE | P00725072 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 186 Cannon Bridge Rd Unit B, Cornelia, GA 305314710 | 7067780077 | 7067780565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235187527 | Syed Naseeruddin | Family Medicine | 3505 Progress Ln, Saint Cloud, FL 34769-6519 | 2006-05-05 |
| Street Address |
137 VILLAGE WAY |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-5458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 |
|---|---|---|---|---|
| 1376982744 | Syed A Naseeruddin Md LLC | Family Medicine | 1762b Memorial Dr, Suite 201, Clarksville, TN 37043-4521 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
| 1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
| 1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
| 1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
| 1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
| 1841485018 | Crystal Shanelle Dyer | Family Medicine | 850 W Main St Ste 2, Rogersville, TN 37857-3663 | 2007-09-11 |
| 1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
| 1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
| 1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
| 1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.