James Thomas Griscom Iii, MD | |
410 42nd Ave N Ste 400, Nashville, TN 37209-3658 | |
(615) 329-7887 | |
(615) 340-4537 |
Full Name | James Thomas Griscom Iii |
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Gender | Male |
Speciality | Surgery |
Location | 410 42nd Ave N Ste 400, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760989131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 334754 (Louisiana) | Secondary |
208600000X | Surgery | 71267 (Tennessee) | Primary |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
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James Thomas Griscom Iii, MD 410 42nd Ave N Ste 400, Nashville, TN 37209-3658 Ph: (615) 329-7887 | James Thomas Griscom Iii, MD 410 42nd Ave N Ste 400, Nashville, TN 37209-3658 Ph: (615) 329-7887 |
Dr. Clayton Allen Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 530, Nashville, TN 37205 Phone: 615-222-5500 Fax: 615-222-5601 | |
Dr. Patrick Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 393 Wallace Rd Ste 301, Nashville, TN 37211 Phone: 615-425-0550 Fax: 615-833-8287 | |
Kenneth Sharp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Mohammed Almzayyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2146 Belcourt Ave, Vmg Business Office, Nashville, TN 37212 Phone: 615-343-6642 | |
Dr. Eric Owen Yeates, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 | |
Dr. Reginald William Coopwood, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Dr. D. B. Todd Blvd, Nashville, TN 37208 Phone: 615-341-4746 Fax: 615-341-4046 | |
Dr. Douglas Alan Hale, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 |