OLD HICKORY EMERGENCY PHYSICIANS NPI 1679771240

NPI Information

NPI: 1679771240
Provider Name: OLD HICKORY EMERGENCY PHYSICIANS
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
500 HOSPITAL DR
MADISON, TN
ZIP 37115
Phone: (615) 865-0300
Get Directions

OLD HICKORY EMERGENCY PHYSICIANS is an emergency medical services emergency medicine in Madison, TN. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. OLD HICKORY EMERGENCY PHYSICIANS NPI is 1679771240. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 HOSPITAL DR
MADISON, TN
ZIP 37115-031
Phone: (615) 865-0300
Fax: (615) 312-8317

The provider's authorized official is Jennifer Provasnik .
The authorized official title is Supervisor Of Provider Enrollment and has the following contact phone number (800) 355-0808.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 8/22/2020.

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	207PE0004X	Emergency Medicine	Emergency Medical Services			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	3726452	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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