OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC (NPI# 1821426347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821426347 |
| Entity Type | Organization |
| Organization Name | OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC |
| Practice Address |
355 New Shckl Is Rd Hendersonville TN 37075-2479 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 6153381000 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
355 NEW SHCKL IS RD |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083818082 | Roger Clay Vanarsdell | Emergency Medicine | 275 Canterbury Way, Hendersonville, NC 28792 | 2007-06-13 |
| 1821213067 | Bradley Scott Logan | Emergency Medicine | 420 Indian Lake Rd, Hendersonville, TN 37075-4518 | 2007-04-14 |
| 1205876877 | Bruce Edward Day | Emergency Medicine | 144 Fairways Dr, Hendersonville, TN 37075-2611 | 2006-06-08 |
| 1285696468 | Clinton W Hamrick | Emergency Medicine | 212a Thompson St, Hendersonville, NC 28792-2806 | 2006-04-04 |
| 1942203088 | Hendersonville Emergency Consultants PC | Emergency Medicine | 800 N Justice St, Hendersonville, NC 28791-3410 | 2005-05-23 |
| 1295267722 | Jennifer Grodus | Emergency Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2017-04-03 |
| 1487008827 | Meredith Ann Camp Binford | Emergency Medicine | 800 N Justice St, Hendersonville, NC 28791-3410 | 2016-04-22 |
| 1417338484 | Brendan Hayes | Emergency Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 | 2015-06-15 |
| 1306225081 | Henderson County Hospital Corporation Dba Pardee Medical Associates | Emergency Medicine | 800 N Justice St, Hendersonville, NC 28791-3410 | 2015-05-27 |
| 1982022398 | Pooja Nimit Patel | Emergency Medicine | 355 New Shackle Island Rd, Hendersonville, TN 37075 | 2014-04-02 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC.
| 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.