DR. ALLEN ARDESTANI (NPI# 1134474711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134474711 |
| Entity Type | Individual |
| Full Name | DR. ALLEN ARDESTANI |
| Credential | MD, PHD |
| Practice Address |
7945 Wolf River Blvd Germantown TN 38138-1762 |
| Mailing Address |
7714 Poplar Ave Ste 200 Germantown TN 38138-3941 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9016852969 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9016852969 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
25955 | MS | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
57254 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25955 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
57254 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02884332 | 05 | |
| TN | Q037312 | 05 |
| Street Address |
7945 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268592 | Suhail M Obaji | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2005-07-13 |
| 1851907703 | Christen Ann Coleman | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-09-16 |
| 1861001794 | Stephanie Ham | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-07-27 |
| 1760037287 | Michael Robert Seitz | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-08-02 |
| 1134785769 | Tiffany Sophia Bennett | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-20 |
| 1962068833 | Laura Leigh Smith | Occupational Therapist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-15 |
| 1649733502 | Tiffany Hunt Kinard | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-04-08 |
| 1669933461 | Ellen Wills | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-26 |
| 1144781022 | Courtney Renae Susser | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-25 |
| 1063978948 | Kathryn Wright | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700220050 | Jacqueline Angel | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-17 |
| 1043303548 | Joseph C Sullivan IIi | Radiology | 7600 Wolf River Blvd, Ste 200, Germantown, TN 38138-1784 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801091434 | Scott Nyshin Hwang | Radiology | 262 Danny Thomas Place, Mail Stop 220, St Jude Children's Research Hospital, Memphis, TN 38105-3678 | 2007-06-14 |
| 1679796486 | Richard Ian Gray | Radiology | 865 Jefferson Ave # F150, Uthsc Dept. of Radiology, Memphis, TN 38103-2807 | 2007-04-10 |
| 1851480776 | James Koonce | Radiology | 1301 Sunset Dr Ste 3, Mountain Empire Radiology, Johnson City, TN 37604-7906 | 2006-10-11 |
| 1366490617 | Jeffrey A Simon | Radiology | 750 Old Hickory Blvd Ste 1-260, Brentwood, TN 37027-4528 | 2006-05-05 |
| 1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
| 1730520842 | David Mitchell Ray | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-07-17 |
| 1851688063 | Christopher Jordan Dela Houssaye | Radiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-07-08 |
| 1679701791 | Harry R. Hixson Jr. | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2009-06-26 |
| 1114152410 | Ernest Robin Gray IIi | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2009-05-16 |
| 1770725905 | Colin Mcknight | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on DR. ALLEN ARDESTANI.
| 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.