Gastroenterology Specialists Of Middle Tennessee Llc | |
397 Wallace Rd Suite 103 Nashville TN 37211-4854 | |
(615) 831-5422 | |
(615) 831-7128 |
Full Name | Gastroenterology Specialists Of Middle Tennessee Llc |
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Speciality | Internal Medicine |
Location | 397 Wallace Rd, Nashville, Tennessee |
Authorized Official Name and Position | John Rodgers (VICE PRESIDENT) |
Authorized Official Contact | 6153737600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastroenterology Specialists Of Middle Tennessee Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | Gastroenterology Specialists Of Middle Tennessee Llc 397 Wallace Rd Suite 103 Nashville TN 37211-4854 Ph: (615) 831-5422 |
NPI Number | 1831364124 |
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Provider Enumeration Date | 04/28/2008 |
Last Update Date | 06/25/2024 |
Medicare PECOS PAC ID | 7012088180 |
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Medicare Enrollment ID | O20080617000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831364124 | NPI | - | NPPES |
1505358 | Medicaid | TN | |
4180849 | Other | TN | BCBS |
DN3097 | Other | TN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Anthony Montemuro |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578597902 PECOS PAC ID: 3678556289 Enrollment ID: I20040617001289 |
Provider Name | Riaz Q Gill |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063442044 PECOS PAC ID: 1951384569 Enrollment ID: I20080919000327 |
Provider Name | Kara E Hobbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497157531 PECOS PAC ID: 0446575880 Enrollment ID: I20150206000968 |
Provider Name | Tehri Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063965168 PECOS PAC ID: 1557649779 Enrollment ID: I20161024000082 |
Provider Name | Francisco Emmanuel Garcia Gonzalez |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487936605 PECOS PAC ID: 2264657816 Enrollment ID: I20181203002265 |
Provider Name | Clayton M Spiceland |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427499078 PECOS PAC ID: 8628210903 Enrollment ID: I20190719001921 |
Provider Name | Courtney Maxwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861155194 PECOS PAC ID: 3274921960 Enrollment ID: I20211029000944 |
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