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CENTENNIAL HEART LLC NPI 1245393057


NPI Information

NPI: 1245393057
Provider Name: CENTENNIAL HEART LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2400 PATTERSON ST
SUITE 502
NASHVILLE, TN
ZIP 37203
Phone: (615) 515-1900
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CENTENNIAL HEART LLC is a specialist in Nashville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTENNIAL HEART LLC NPI is 1245393057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 PATTERSON ST
SUITE 502
NASHVILLE, TN
ZIP 37203-562
Phone: (615) 515-1900
Fax: (615) 515-1993

The provider's authorized official is Louis Joseph .
The authorized official title is Vice President and has the following contact phone number (615) 373-7600.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13736113MEDICAIDTENNESSEE
2DF6153OTHERTENNESSEERR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.