CTN CARE OF TN II, LLC (NPI# 1386107175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386107175 |
| Entity Type | Organization |
| Organization Name | CTN CARE OF TN II, LLC |
| Practice Address |
315 Deaderick St Ste 1550b Nashville TN 37238-3000 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6157332064 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
315 DEADERICK ST STE 1550B |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37238-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1518420272 | Stn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1881157543 | Stn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1629531389 | Otn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1922561679 | Otn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1356804090 | Ctn Care of Tn, LLC | Internal Medicine | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124618 | Department of Intellectual and Developmental Disabilities, State of Tn | Exclusive Provider Organization | 315 Deaderick St Fl 8, Nashville, TN 37238-3000 | 2020-05-05 |
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1215445192 | Cardiac Cin of Middle Tennessee LLC | Internal Medicine | 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 | 2018-01-13 |
| 1396885653 | Angela Gayle Walk | Chiropractor | 315 Deaderick St, Suite 120, Nashville, TN 37238-3000 | 2007-02-07 |
| 1497269120 | Pinnacle Biolabs LLC | Clinical Medical Laboratory | 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | 2017-11-16 |
| 1164936878 | Charles Ellis Balentine | Spec/Tech, Pathology | 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | 2017-11-17 |
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352750 | Rose Marie Robertson | Internal Medicine | 4003 Newman Pl, Nashville, TN 37204-4308 | 2016-08-31 |
| 1922398403 | David Frank Meoli | Internal Medicine | D-3100 Vanderbilt Department of Medicine, Nashville, TN 37232-0001 | 2011-04-18 |
| 1245556554 | Jonathan Nathan Menachem | Internal Medicine | Vanderbilt Medical Center Suite 5209, Nashville, TN 37232 | 2010-04-12 |
| 1114174547 | Sharmin Basher | Internal Medicine | Vanderbilt Heart & Vascular Institute, 1215 21st Avenue S., Suite 5209, Nashville, TN 37232-8802 | 2008-08-27 |
| 1972777480 | Daniel Walter Kaiser | Internal Medicine | 301 21st Ave N Ste 100, Nashville, TN 37203-1821 | 2008-04-15 |
| 1346365459 | Kimberli Taylor Clarke | Internal Medicine | 2220 Pierce Ave Ste 383, Medicine, N3e09, Nashville, TN 37232-0021 | 2007-03-20 |
| 1700940582 | The Heart and Vascular Clinic P.C. | Internal Medicine | 2410 Patterson St Ste 212, Nashville, TN 37203-1553 | 2006-12-19 |
| 1134203243 | Rebecca Rae Hung | Internal Medicine | Vanderbilt Heart and Vascular Institute, 1215 21st Ave South, Suite 5209, Nashville, TN 37232-0001 | 2006-10-25 |
| 1841391604 | Sharma Saith, Md, PC | Internal Medicine | 395 Wallace Road, Suite B300, Nashville, TN 37211 | 2006-09-26 |
| 1154420594 | Marvin W Kronenberg | Internal Medicine | Vanderbilt Heart and Vascular Inst 1215 21st Ave S, Suite 5209, Nashville, TN 37232-0001 | 2006-09-22 |
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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.