CENTENNIAL SURGICAL CLINIC, LLC


Address: 2410 Patterson St, Suite 212, Nashville, TN 37203-1551
Phone: 6153427345

CENTENNIAL SURGICAL CLINIC, LLC (NPI# 1992009500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992009500
Entity Type Organization
Organization Name CENTENNIAL SURGICAL CLINIC, LLC
Practice Address 2410 Patterson St
Suite 212
Nashville
TN 37203-1551
Practice Telephone 6153427345
Mailing Telephone 6153427345
Enumeration Date 2010-12-23
Last Update Date 2020-01-06
Authorized Official Name LOUIS JOSEPH (VICE PRESIDENT)
Authorized Official Telephone 6153737600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Office Location

Street Address 2410 PATTERSON ST
SUITE 212
City NASHVILLE
State TN
Zip Code 37203-1551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417942848 Robin B Severance Nurse Practitioner 2410 Patterson St, Suite 106, Nashville, TN 37203-1551 2005-09-12
1336602150 Kelsey Lavon Maduell Nurse Practitioner 2410 Patterson St, Nashville, TN 37203-1551 2019-04-09
1740749449 Joylayne Malone Gilli Nurse Practitioner 2410 Patterson St, Nashville, TN 37203-1551 2019-03-13
1326467564 Ryan Thomas Jones Radiology 2410 Patterson St, Nashville, TN 37203-1551 2014-04-15
1780013862 Brandon Peffer Physician Assistant 2410 Patterson St, Suite 212, Nashville, TN 37203-1551 2013-11-08
1063853968 Audra S Henley Nurse Practitioner 2410 Patterson St, Nashville, TN 37203-1551 2013-07-09
1952652414 Tristar Radiation Oncology, LLC Clinic/Center 2410 Patterson St, Nashville, TN 37203-1551 2012-09-25
1154687499 Eleanor Marshall Osborne Radiology 2410 Patterson St, Nashville, TN 37203-1551 2012-04-11
1134248222 Campbell Nephrology & Hypertension Inc Legal Medicine 2410 Patterson St, Suite 402, Nashville, TN 37203-1551 2007-03-28
1720129349 David Edward Hunt Radiology 2410 Patterson St, Nashville, TN 37203-1551 2007-02-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811146988 Denis Michael Gilmore Thoracic Surgery (Cardiothoracic Vascular Surgery) 2400 Patterson St Ste 215, Nashville, TN 37203 2008-09-15
1063698637 Davis C. Drinkwater, Md, Plc Thoracic Surgery (Cardiothoracic Vascular Surgery) 4390 Chickering Ln, Nashville, TN 37215-4920 2008-01-14
1780728089 Phillip Pendleton Brown I Thoracic Surgery (Cardiothoracic Vascular Surgery) 518 Park Center Ave, Nashville, TN 37205-3430 2007-02-19
1184657272 Eric Shawn Lambright Thoracic Surgery (Cardiothoracic Vascular Surgery) 3601 Vanderbilt Clinic, Nashville, TN 37232-0001 2006-07-09
1639116379 Lifford L Lancaster Thoracic Surgery (Cardiothoracic Vascular Surgery) 3443 Dickerson Pike Ste 400, Nashville, TN 37207-2524 2006-06-01
1073516340 Mark Tedder Thoracic Surgery (Cardiothoracic Vascular Surgery) 4230 Harding Pike, Suite 430, Nashville, TN 37205-2013 2005-05-31
1497164727 Matthew Robert Danter Thoracic Surgery (Cardiothoracic Vascular Surgery) 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 2014-08-12
1841621273 William H Frist Sr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 2908 Poston Ave, C/o Deborah A. Kolarich, Cpa, Nashville, TN 37203-1312 2013-12-11
1699031591 Amber Melvin Edwards Thoracic Surgery (Cardiothoracic Vascular Surgery) 2010 Church St Ste 700, Nashville, TN 37203-2072 2012-04-04
1710276241 Jordan Hoffman Thoracic Surgery (Cardiothoracic Vascular Surgery) 3601 The Vanderbilt Clinic, Nashville, TN 37232-4229 2011-04-05
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City NASHVILLE
Zip Code 37203

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Dataset Information

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.

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