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PROVIDENCE OBSTETRICS AND GYNECOLOGY PLLC NPI 1467716142


NPI Information

NPI: 1467716142
Provider Name: PROVIDENCE OBSTETRICS AND GYNECOLOGY, PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
300 STONECREST BLVD
SUITE 250
SMYRNA, TN
ZIP 37167
Phone: (615) 984-4751
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PROVIDENCE OBSTETRICS AND GYNECOLOGY, PLLC is an obstetrics gynecology in Smyrna, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROVIDENCE OBSTETRICS AND GYNECOLOGY, PLLC NPI is 1467716142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 STONECREST BLVD
SUITE 250
SMYRNA, TN
ZIP 37167-688
Phone: (615) 984-4751
Fax: (615) 984-4752

The provider's authorized official is Nina D Shapiro .
The authorized official title is Practice Manager and has the following contact phone number (615) 984-4751.

The enumeration date for this NPI number is 6/27/2012 and was last updated on 10/8/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology41688TENNESSEEYes

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
1103G709136MEDICARE PINTENNESSEE

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

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