JULIE M PENA (NPI# 1184608416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184608416 |
Entity Type | Individual |
Full Name | JULIE M PENA |
Credential | M.D. |
Practice Address |
200 Cool Springs Blvd Franklin TN 37067-2677 |
Practice Telephone | 6157717546 |
Practice Fax Number | 6157718600 |
Mailing Telephone | 6157717546 |
Mailing Fax Number | 6157718600 |
Enumeration Date | 2005-11-30 |
Last Update Date | 2014-06-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD0000033935 | TN | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
33935 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 3159356 | 01 |
Street Address |
200 COOL SPRINGS BLVD |
City | FRANKLIN |
State | TN |
Zip Code | 37067-2677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063046738 | Teresa Elizabeth Bailey | Nurse Practitioner | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2020-03-02 |
1811427545 | Ashley Mary Heinly | Nurse Practitioner | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2017-06-15 |
1891152294 | Hannah South | Physician Assistant | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2016-01-15 |
1356717870 | Cassie Tramel | Nurse Practitioner | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2015-08-19 |
1497142210 | Marisa Belaidi | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2015-04-20 |
1073905774 | Carrie Elizabeth Byrd | Nurse Practitioner | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2015-03-04 |
1083954929 | Kelly S Caudle | Physician Assistant | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2013-02-28 |
1831388859 | Laura Sudbury Bauer | Physician Assistant | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2007-10-16 |
1215940366 | Skin Solutions Dermatology & Skin Cancer Surgery, P.C. | Specialist | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2006-08-13 |
1790797595 | Jo Ellyn Dyson | Physician Assistant | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2006-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619580628 | Jennifer Patterson Juskowich | Physical Therapist | 101 International Drive, Franklin, TN 37067 | 2020-08-28 |
1841819505 | Kasar Findi | Nurse Practitioner | 2105 Eward Curd Lane, Nashville, TN 37067 | 2020-04-13 |
1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
1467945402 | Steven A Roush | Dentist | 5040 Carothers Parkway, Ste 101, Franklin, TN 37067 | 2018-06-13 |
1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
Find all providers in zip 37067 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215483201 | Forefront Dermatology, S.c. | Dermatology | 10500 W Loomis Rd, Suite 110, Franklin, WI 53132 | 2016-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
1801362231 | Innova Dermatology PC | Dermatology | 105 Maple Row Blvd, Hendersonville, TN 37075-3853 | 2018-10-24 |
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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.