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CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC NPI 1790274850


NPI Information

NPI: 1790274850
Provider Name: CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
651 DUNLOP LN
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 502-1000
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CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC is a critical care medicine internal medicine in Clarksville, TN. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC NPI is 1790274850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

651 DUNLOP LN
CLARKSVILLE, TN
ZIP 37040-015
Phone: (931) 502-1000
Fax: (386) 274-7801

The provider's authorized official is Steven P Maron .
The authorized official title is President and has the following contact phone number (925) 482-8233.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 12/12/2018.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207RC0200XInternal MedicineCritical Care MedicineYes

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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