DR. ROBERT LEE NEADERTHAL M.D. NPI 1417950965

NPI Information

NPI: 1417950965
Provider Name: DR. ROBERT LEE NEADERTHAL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3919 CROSS CREEK RD
NASHVILLE, TN
ZIP 37215
Phone: (615) 584-8422
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DR. Robert Lee Neaderthal, M.D. 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. DR. Robert Lee Neaderthal, M.D. NPI is 1417950965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3919 CROSS CREEK RD
NASHVILLE, TN
ZIP 37215-428
Phone: (615) 584-8422

The enumeration date for this NPI number is 5/28/2005 and was last updated on 12/13/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD08275	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0440482	OTHER	TENNESSEE	UNITED HEALTHCARE
2	3165746	MEDICAID	TENNESSEE
3	3165749	MEDICARE PIN	TENNESSEE
4	3011452	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
5	A54252	MEDICARE UPIN	TENNESSEE

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

NPI Synchronization or Removal

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