STEPHEN H PERCELAY MD NPI 1568437044

NPI Information

NPI: 1568437044
Provider Name: STEPHEN H PERCELAY, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
651 DUNLOP LN
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 502-1000
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Stephen H Percelay, MD is a specialist in Clarksville, 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. Stephen H Percelay, MD NPI is 1568437044. 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:

651 DUNLOP LN
CLARKSVILLE, TN
ZIP 37040-015
Phone: (931) 502-1000

The enumeration date for this NPI number is 2/20/2006 and was last updated on 6/9/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				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	300133944	OTHER		RAILROAD MEDICARE CIC
2	3092085	MEDICARE PIN
3	4035743	OTHER		BCBS CIC
4	3030831	OTHER		BCBS
5	300050066	OTHER		RAILROAD MEDICARE
6	3092082	MEDICAID	TENNESSEE
7	3092083	MEDICARE PIN

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

NPI Synchronization or Removal

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