CANE RIDGE EMERGENCY PHYSICIANS LLC - NPI NUMBER 1275815433

Summary

Provider Name: CANE RIDGE EMERGENCY PHYSICIANS LLC

NPI Number: 1275815433

Clasification: Emergency Medicine (207P00000X)

Address:
200 STONECREST BLVD
SMYRNA, TN
ZIP 37167

Phone Number: (615) 768-2300



Detailed Information

CANE RIDGE EMERGENCY PHYSICIANS LLC is an emergency physician in Smyrna, TN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1275815433 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

200 STONECREST BLVD
SMYRNA, TN
ZIP 37167-810
Phone: (615) 768-2300
Fax: (615) 768-2303

The provider's authorized official is Ross R. Ronan .
The authorized official title is Vice President and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 6/18/2014.

Map - Location of Practice

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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 207P00000X Emergency Medicine Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1275815433 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 CANE RIDGE EMERGENCY PHYSICIANS LLC 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 200 STONECREST BLVD 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 SMYRNA 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 371676810 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 6157682300 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 6157682303 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 9/14/2011 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 6/18/2014 The date that a record was last updated or changed.
14 Authorized Official Last Name RONAN 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 ROSS The first name of the authorized official.
16 Authorized Official Middle Name R. The middle name of the authorized official.
17 Authorized Official Title or Position VICE PRESIDENT The title or position of the authorized official.
18 Authorized Official Telephone Number 4694012386 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 207P00000X 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 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text MR.
23 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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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

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