MICHAEL BLAINE LENHART, MD - NPI NUMBER 1053427187

Summary

Provider Name: MICHAEL BLAINE LENHART, MD

NPI Number: 1053427187

Clasification: Internal Medicine (207RC0000X)

Specialization: Cardiovascular Disease

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Address:
228 WEST 4TH ST
SUITE 200
COOKEVILLE, TN
ZIP 38501

Phone Number: (931) 372-0405



Detailed Information

Michael Blaine Lenhart, MD is a cardiovascular disease internist in Cookeville, TN with 26 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. The assigned NPI number for this provider is 1053427187 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1988

The provider's business address is:

228 WEST 4TH ST
SUITE 200
COOKEVILLE, TN
ZIP 38501
Phone: (931) 372-0405
Fax: (931) 372-0463

The enumeration date for this NPI number is 8/22/2006 and was last updated on 4/1/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RC0000X Internal Medicine Cardiovascular Disease MD26635 TN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 E84373 MEDICARE UPIN
2 3148888 OTHER TN BCBS TN
3 3091391 MEDICAID TN
4 3091391 MEDICARE ID-TYPE UNSPECIFIED TN

NPI Record

No. Field Name Field Value
1 NPI 1053427187
2 Entity Type Code 1
3 Provider Last Name Legal Name LENHART
4 Provider First Name MICHAEL
5 Provider Middle Name BLAINE
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 228 WEST 4TH ST
8 Provider Second Line Business Practice Location Address SUITE 200
9 Provider Business Practice Location Address City Name COOKEVILLE
10 Provider Business Practice Location Address State Name TN
11 Provider Business Practice Location Address Postal Code 38501
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9313720405
14 Provider Business Practice Location Address Fax Number 9313720463
15 Provider Enumeration Date 8/22/2006
16 Last Update Date 4/1/2008
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207RC0000X
19 Provider License Number 1 MD26635
20 Provider License Number State Code 1 TN
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 E84373
23 Other Provider Identifier Type Code 1 02
24 Other Provider Identifier 2 3148888
25 Other Provider Identifier Type Code 2 01
26 Other Provider Identifier State 2 TN
27 Other Provider Identifier Issuer 2 BCBS TN
28 Other Provider Identifier 3 3091391
29 Other Provider Identifier Type Code 3 05
30 Other Provider Identifier State 3 TN
31 Other Provider Identifier 4 3091391
32 Other Provider Identifier Type Code 4 04
33 Other Provider Identifier State 4 TN
34 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.