MR. ABU S FAKHRUDDIN (NPI# 1962497867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962497867 |
| Entity Type | Individual |
| Full Name | MR. ABU S FAKHRUDDIN |
| Credential | MD |
| Practice Address |
330 23rd Ave N Suite 300 Nashville TN 37203-1534 |
| Practice Telephone | 6153425900 |
| Practice Fax Number | 6153427898 |
| Mailing Telephone | 6153425900 |
| Mailing Fax Number | 6153427898 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD26195 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | 100015511 | 01 |
| TN | 3805808 | 05 | |
| KY | 64032071 | 05 |
| Street Address |
330 23RD AVE N SUITE 300 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1534 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1467739573 | Daniel E. Gremillion | Internal Medicine | 413 W Brookfield Dr, Nashville, TN 37205-4407 | 2011-11-03 |
| 1750685889 | Howard E. Rosen | Internal Medicine | 64 Old Club Ct, Nashville, TN 37215-1100 | 2011-01-04 |
| 1407909187 | Nashville Gastroenterology Consultants, P. C. | Internal Medicine | 2400 Patterson St Ste 515, Nashville, TN 37203-6516 | 2007-01-18 |
| 1609807163 | Melvin L. Butler | Internal Medicine | 28 White Bridge Road, Suite 208, Nashville, TN 37205-1467 | 2006-07-05 |
| 1609848738 | William F Alexander | Internal Medicine | 343 22nd Ave N, Nashville, TN 37203-1841 | 2006-02-02 |
| 1629063854 | Wallace R Mcgrew | Internal Medicine | 330 23rd Ave N Ste 300, Suite 300, Nashville, TN 37203-1690 | 2005-09-14 |
| 1396739140 | Allan Harold Bailey | Internal Medicine | 2010 Church Street, Suite 420, Nashville, TN 37203-2010 | 2005-09-08 |
| 1043219165 | Robert W Herring Jr. | Internal Medicine | 330 Wallace Rd, Suite103, Nashville, TN 37211-4893 | 2005-07-20 |
| 1649278474 | Howard R Mertz | Internal Medicine | 4230 Harding Road, Suite 309 Medical Plaza West, Nashville, TN 37205-2013 | 2005-07-14 |
| 1457892614 | Gastrointestinal Health Partners | Internal Medicine | 1916 Patterson St, #503, Nashville, TN 37203-2120 | 2017-03-20 |
| Find all providers in NASHVILLE | ||||
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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.