Provider Type Icon

TENNESSEE HEART PLLC NPI 1588733877


NPI Information

NPI: 1588733877
Provider Name: TENNESSEE HEART PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
228 W 4TH ST
SUITE 200
COOKEVILLE, TN
ZIP 38501
Phone: (931) 372-0405
Get Directions

TENNESSEE HEART PLLC 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. TENNESSEE HEART PLLC NPI is 1588733877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

228 W 4TH ST
SUITE 200
COOKEVILLE, TN
ZIP 38501-489
Phone: (931) 372-0405
Fax: (931) 528-2577

The provider's authorized official is Robert Alex Case .
The authorized official title is Chief Medical Manager and has the following contact phone number (931) 372-0405.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/2/2008.


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
1174400000XSpecialistMD23632TENNESSEEYes

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
13718632MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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: 4/28/2024

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.