GILBERT D EZELL (NPI# 1265419725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265419725 |
| Entity Type | Individual |
| Full Name | GILBERT D EZELL |
| Credential | MD |
| Practice Address |
5651 Frist Blvd Ste 616 Hermitage TN 37076-2054 |
| Mailing Address |
2801 Charlotte Ave Nashville TN 37209-4035 |
| Practice Telephone | 6153914394 |
| Practice Fax Number | 6153910284 |
| Mailing Telephone | 6152509200 |
| Mailing Fax Number | 6152509251 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD16306 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | 340013305 | 01 |
| KY | 64791700 | 05 | |
| TN | BLUE CROSS | 2005158 | 01 |
| TN | 3032279 | 05 |
| Street Address |
5651 FRIST BLVD STE 616 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253638 | Brian C Beatty | Obstetrics & Gynecology | 5651 Frist Blvd, Ste 213, Hermitage, TN 37076-2056 | 2005-05-23 |
| 1740739747 | Mary Hackett | Nurse Practitioner | 5651 Frist Blvd, 603, Hermitage, TN 37076-2054 | 2016-10-02 |
| 1518360825 | Gabriela Alejandra Lee | Nurse Practitioner | 5651 Frist Blvd, Suite 712, Hermitage, TN 37076-2054 | 2014-09-30 |
| 1871992974 | Bryan Hack | Physical Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-08-14 |
| 1740693241 | Claire E Marple | Occupational Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-06-03 |
| 1851713267 | Laura Denning Kigweba | Physician Assistant | 5651 Frist Blvd, Suite 616, Hermitage, TN 37076-2054 | 2014-01-21 |
| 1790111383 | Nicole Pewitt Frye | Nurse Practitioner | 5651 Frist Blvd, Suite 414, Hermitage, TN 37076-2054 | 2013-09-16 |
| 1588001846 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Ste 200, Hermitage, TN 37076-2054 | 2013-05-28 |
| 1790024065 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Suite 409, Hermitage, TN 37076-2054 | 2013-02-06 |
| 1568713972 | Megan Michelle Matheson | Nurse Practitioner | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2012-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1720245301 | Christopher Heath Meyers Hawkins | Urology | 5651 Frist Blvd., Ste 616, Hermitage, TN 37076 | 2008-05-21 |
| 1497740450 | Urology Center, Inc | Urology | 2400 Highland Rd, Hermitage, PA 16148-2868 | 2005-09-15 |
| 1992120455 | Upmc Community Medicine Inc | Urology | 2400 Highland Rd, Hermitage, PA 16148-2868 | 2014-02-20 |
| 1477998581 | Jamie Uy | Urology | 2400 Highland Rd, Hermitage, PA 16148 | 2013-05-02 |
| 1710118682 | Michael James Belsante | Urology | 5651 Frist Blvd, #616, Hermitage, TN 37076-2054 | 2009-07-27 |
| 1306831920 | Peter M Daloni | Urology | 2400 Highland Rd, Hermitage, PA 16148-2868 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
| 1629598453 | Female Physicians of Tennessee, P.C. | Urology | 310 25th Ave N Ste 202, Nashville, TN 37203-1515 | 2017-06-22 |
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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.