TOP FLIGHT MEDICAL GROUP - NPI NUMBER 1417299223

Summary

Provider Name: TOP FLIGHT MEDICAL GROUP

NPI Number: 1417299223

Clasification: Specialist (174400000X)

Address:
1150 PERIMETER PARK DR
COOKEVILLE, TN
ZIP 38501

Phone Number: (615) 340-3436



Detailed Information

TOP FLIGHT MEDICAL GROUP is a specialist in Cookeville, 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. The assigned NPI number for this provider is 1417299223 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

1150 PERIMETER PARK DR
COOKEVILLE, TN
ZIP 38501-927
Phone: (615) 340-3436
Fax: (877) 472-3945

The provider's authorized official is Sekou Fm Molette .
The authorized official title is Physician and has the following contact phone number (615) 340-3436.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 3/19/2013.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1053305946 DR. MELVIN SETH RAPELYEA, M.D.
Specialist
1134212640 MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC
Specialist
1033198981 SPENCER J. MADELL, MD
Specialist
1124052972 DR. STEVEN L CLEMONS, M.D.
Specialist
1043247349 DR. THUY T NGO, M.D.
Specialist
1093151045 HIGHLANDS DERMATOLOGY AND SURGICAL ASSOCIATES
Specialist
1124111661 DR. SCOTT A COPELAND, M.D.
Specialist





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 174400000X Specialist MD31865 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 H00315 MEDICARE UPIN TN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1417299223 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name TOP FLIGHT MEDICAL GROUP The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 1150 PERIMETER PARK DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name COOKEVILLE The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name TN The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 385010927 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 6153403436 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 8774723945 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 3/19/2013 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 3/19/2013 The date that a record was last updated or changed.
14 Authorized Official Last Name MOLETTE The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name SEKOU The first name of the authorized official.
16 Authorized Official Middle Name FM The middle name of the authorized official.
17 Authorized Official Title or Position PHYSICIAN The title or position of the authorized official.
18 Authorized Official Telephone Number 6153403436 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 174400000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 MD31865 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 TN The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 H00315 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 1 TN
26 Is Organization Subpart N
27 Authorized Official Credential Text MD
28 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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.