NPS PHYSICIANS TN PLLC (NPI# 1932629524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932629524 |
| Entity Type | Organization |
| Organization Name | NPS PHYSICIANS TN PLLC |
| Other Organization Name | NASHVILLE KIDNEY CARE |
| Practice Address |
3810 Central Pike Ste 105 Hermitage TN 37076-3494 |
| Mailing Address |
1840 E Ray Rd Chandler AZ 85225-8720 |
| Practice Telephone | 8553970197 |
| Practice Fax Number | 8003192124 |
| Mailing Telephone | (855) 397-0197 |
| Mailing Fax Number | 8002726512 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | DR. ROBERT PROVENZANO (OWNER) |
| Authorized Official Telephone | 8553970197 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nashville Kidney Care | Doing Business As Name - Organization |
| Street Address |
3810 CENTRAL PIKE STE 105 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262338 | William H. Pettus | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2005-08-18 |
| 1447341755 | Aiyappan Menon | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2006-09-28 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1801025820 | Nassif Azzi | Internal Medicine | 5651 Frist Blvd Ste 713, Hermitage, TN 37076-2061 | 2009-07-11 |
| 1649262338 | William H. Pettus | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2005-08-18 |
| 1265590939 | Wallace C Gauntner Md PC | Internal Medicine | 737 Brookshire Dr, Hermitage, PA 16148-4507 | 2006-12-05 |
| 1447341755 | Aiyappan Menon | Internal Medicine | 3810 Central Pike Ste 105, Hermitage, TN 37076-3495 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739089 | Monogram Health Professional Services PC | Internal Medicine | 40 Burton Hills Blvd Ste 140, Nashville, TN 37215-6186 | 2020-08-05 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1073963716 | Tennessee Kidney Care Pllc | Internal Medicine | 5243 Little Debbie Pkwy Ste 119, Ooltewah, TN 37363-4515 | 2016-06-14 |
| 1376910208 | Muhammad Owais Malik | Internal Medicine | 107 Woodlawn Dr Ste 200, Johnson City, TN 37604-6287 | 2015-08-26 |
| 1336533710 | Ann Downs Herron | Internal Medicine | 1346 Dow St, Murfreesboro, TN 37130-2470 | 2015-03-24 |
| 1184031965 | Knoxville Nephrology Associates LLC | Internal Medicine | 6826 Tice Ln, Knoxville, TN 37918-5240 | 2014-07-14 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1063830248 | Waleed Asfar | Internal Medicine | 3443 Dickerson Pike Ste 670, Nashville, TN 37207-2525 | 2014-04-03 |
| 1518303692 | Southern Kidney Specialists, Plc | Internal Medicine | 256 Seaboard Ln Ste F101, Franklin, TN 37067-2894 | 2013-05-16 |
| 1093150351 | Christopher A Molini | Internal Medicine | 2010 Church St Ste 508, Nashville, TN 37203-2079 | 2013-05-01 |
| 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.