DR. ROOSEVELT PEEBLES JR. (NPI# 1073591731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073591731 |
| Entity Type | Individual |
| Full Name | DR. ROOSEVELT PEEBLES JR. |
| Credential | M.D |
| Practice Address |
1916 Patterson St Suite 205 Nashville TN 37203-2192 |
| Mailing Address |
2014 Clifton Ave Nashville TN 37203-1910 |
| Practice Telephone | 6153209300 |
| Practice Fax Number | 6153203065 |
| Mailing Telephone | 6153209300 |
| Mailing Fax Number | 6153203065 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD024686 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1916 PATTERSON ST SUITE 205 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035355 | Laboratory for Kidney Pathology Inc | Pathology | 1916 Patterson St, Suite 501, Nashville, TN 37203-2120 | 2005-07-05 |
| 1003468422 | Access Dental | Clinic/Center | 1916 Patterson St, Nashville, TN 37203-2120 | 2019-07-16 |
| 1457892614 | Gastrointestinal Health Partners | Internal Medicine | 1916 Patterson St, #503, Nashville, TN 37203-2120 | 2017-03-20 |
| 1225582802 | Caroline Peake | Physical Therapist | 1916 Patterson St, Suite 101, Nashville, TN 37203-2120 | 2016-08-11 |
| 1982097218 | Sarah Cole | Nurse Practitioner | 1916 Patterson St, Ste 203, Nashville, TN 37203-2120 | 2015-03-11 |
| 1891193041 | Boston Medical Group Tennessee L.L.C. | Urology | 1916 Patterson St, Suite 715, Nashville, TN 37203 | 2014-12-19 |
| 1215330410 | Ivy Y Jeffries | Counselor | 1916 Patterson St, Suite 502, Nashville, TN 37203-2120 | 2014-10-01 |
| 1457753006 | Jeffries Counseling & Consulting Services | Counselor | 1916 Patterson St, Suite 502, Nashville, TN 37203-2120 | 2014-09-25 |
| 1780086488 | Ashley P Theobald | Physical Therapist | 1916 Patterson St, Ste. 101, Nashville, TN 37203-2120 | 2014-09-24 |
| 1619377983 | Andrea M Wehman | Physical Therapist | 1916 Patterson St, Ste. 101, Nashville, TN 37203-2120 | 2014-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447455399 | Jose Roberto Ramirez Gavidia | Plastic Surgery | 1200 Division St, Suite 201, Nashville, TN 37203-4000 | 2007-06-20 |
| 1841492931 | Michael Roger Burgdorf | Plastic Surgery | 3803 Bedford Ave, Suite 102, Nashville, TN 37215-2505 | 2007-06-01 |
| 1447471198 | Kent K. Higdon | Plastic Surgery | Dept of Plastic Surgery, D4207 Medical Center North, Vanderbilt University Medical Center, Nashville, TN 37232-2345 | 2007-05-01 |
| 1649302753 | Panagiotis Takis Patikas | Plastic Surgery | 328 22nd Ave N, Nashville, TN 37203-1842 | 2007-03-12 |
| 1548392673 | Michael Hueneke | Plastic Surgery | 1914 Charlotte Ave, Suite 101, Nashville, TN 37203-2107 | 2007-03-12 |
| 1487707691 | Ronald K Gilmer | Plastic Surgery | 310 25th Ave North, Suite 100, Nashville, TN 37203 | 2007-01-19 |
| 1023192135 | Stephane Braun | Plastic Surgery | D-4207 Medical Ctr N, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2006-10-25 |
| 1649352980 | American Cosmetic Surgery Center, PC | Plastic Surgery | 2309 Crestmoor Rd, Suite 100, Nashville, TN 37215-2043 | 2006-10-19 |
| 1477647220 | Wesley Paul Thayer | Plastic Surgery | D-4207 Medical Center North, Vanderbilt Medical Center, Nashville, TN 37232-2345 | 2006-10-03 |
| 1295737930 | George Patrick Maxwell | Plastic Surgery | 2020 21st Ave S, Nashville, TN 37212-4354 | 2005-08-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.