Monogram Health Professional Services Pc | |
5410 Maryland Way Ste 301 Brentwood TN 37027-5064 | |
(615) 673-4455 | |
Not Available |
Full Name | Monogram Health Professional Services Pc |
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Speciality | Internal Medicine |
Location | 5410 Maryland Way Ste 301, Brentwood, Tennessee |
Authorized Official Name and Position | Shawn Verner (GENERAL COUNSEL AND SECRETARY) |
Authorized Official Contact | 6159941889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 | Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 |
NPI Number | 1952917122 |
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Provider Enumeration Date | 09/22/2020 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 4880004183 |
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Medicare Enrollment ID | O20210208002193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952917122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Geetha Kolli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295928109 PECOS PAC ID: 7214025287 Enrollment ID: I20071109000089 |
Provider Name | Sarah Louise Bivens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386653251 PECOS PAC ID: 7911067079 Enrollment ID: I20081119000222 |
Provider Name | Fraser Scott Turk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255842431 PECOS PAC ID: 9638445497 Enrollment ID: I20171023000656 |
Provider Name | Annette K Stevenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558875435 PECOS PAC ID: 5799036315 Enrollment ID: I20180920002940 |
Provider Name | Mary Eileen Kumah Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417518747 PECOS PAC ID: 4981931029 Enrollment ID: I20190812002439 |
Provider Name | Livia Migdalia Arevalo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568095867 PECOS PAC ID: 5395160071 Enrollment ID: I20200729002410 |
Provider Name | Shannon Schott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083204069 PECOS PAC ID: 6901210731 Enrollment ID: I20210205001332 |
Provider Name | Shaminder Gupta |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20210209000343 |
Provider Name | Trent W Edstrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558957811 PECOS PAC ID: 6103231014 Enrollment ID: I20210225003405 |
Provider Name | Mary Ann Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295379964 PECOS PAC ID: 2769898014 Enrollment ID: I20210310002779 |
Provider Name | Karie M Pietrykowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356828826 PECOS PAC ID: 5193064970 Enrollment ID: I20210322002128 |
Provider Name | Ashley Croom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295396661 PECOS PAC ID: 5496183170 Enrollment ID: I20210826001905 |
Provider Name | Noel Meikle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20211116002062 |
Provider Name | Leslie Carnahan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801092424 PECOS PAC ID: 0244464980 Enrollment ID: I20211116002382 |
Provider Name | Mindy Banks |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679765309 PECOS PAC ID: 4587880844 Enrollment ID: I20220214000902 |
Provider Name | Pinky Patel |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336382480 PECOS PAC ID: 7113235847 Enrollment ID: I20220216002070 |
Provider Name | Susan Hilsabeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497357990 PECOS PAC ID: 6103210984 Enrollment ID: I20220221000660 |
Provider Name | Bethune Grindley |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1992130983 PECOS PAC ID: 4880939461 Enrollment ID: I20220401001715 |
Provider Name | Kavita Kakkad Wei |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1548515505 PECOS PAC ID: 1052623857 Enrollment ID: I20220404001586 |
Provider Name | Lubna Aslam Rashid |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20220416000221 |
Provider Name | Erendira Johana Degante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992445365 PECOS PAC ID: 6608263074 Enrollment ID: I20220504000541 |
Provider Name | Carrie R Hyde |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20220519000439 |
Provider Name | Venkatasubramanian Srinivasan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841273729 PECOS PAC ID: 8820078454 Enrollment ID: I20220520001574 |
Provider Name | Aliasger Ali |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1538696984 PECOS PAC ID: 5597156083 Enrollment ID: I20220817001117 |
Provider Name | Christopher Pile |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1447367057 PECOS PAC ID: 4981671104 Enrollment ID: I20220908000987 |
Provider Name | Sharmila Devidoss |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124169396 PECOS PAC ID: 1557684503 Enrollment ID: I20220921002319 |
Provider Name | Ricardo Rodriguez-santos |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1275932204 PECOS PAC ID: 3274801600 Enrollment ID: I20221011001774 |
Provider Name | Susan Bell |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20221116001468 |
Provider Name | On Seng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992358162 PECOS PAC ID: 7416362819 Enrollment ID: I20230119001172 |
Provider Name | Felicia Uzuyem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811367253 PECOS PAC ID: 5193029080 Enrollment ID: I20230207001312 |
Provider Name | Vivian Sule |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679135941 PECOS PAC ID: 9537594239 Enrollment ID: I20230227002079 |
Provider Name | Sahar Semnani |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1568985737 PECOS PAC ID: 4486927233 Enrollment ID: I20230403001989 |
Provider Name | Mi Remington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437745809 PECOS PAC ID: 0345647657 Enrollment ID: I20230502003052 |
Provider Name | Margarita Vulikh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629613765 PECOS PAC ID: 7113314865 Enrollment ID: I20230504002013 |
Provider Name | Jaclyn A Masulli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124565171 PECOS PAC ID: 5294149761 Enrollment ID: I20230511002790 |
Provider Name | Zahily Fals |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20230519000693 |
Provider Name | Franklin Erzuah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205262185 PECOS PAC ID: 7719118264 Enrollment ID: I20230525003209 |
Provider Name | Dylan Lempp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346915790 PECOS PAC ID: 6103217567 Enrollment ID: I20230705000945 |
Provider Name | Vardan Atanesian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942857834 PECOS PAC ID: 1658745799 Enrollment ID: I20230815003858 |
Provider Name | Christopher Coronel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528672110 PECOS PAC ID: 7911371687 Enrollment ID: I20230831003062 |
Provider Name | Meera Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639619497 PECOS PAC ID: 4183953573 Enrollment ID: I20230908001554 |
Provider Name | Sabina Sandhu |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1679990659 PECOS PAC ID: 1052611563 Enrollment ID: I20230920001529 |
Provider Name | Sarah Elizabeth Field |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013683481 PECOS PAC ID: 0446608400 Enrollment ID: I20231130003768 |
Provider Name | Samantha Yearwood |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932850427 PECOS PAC ID: 4284000852 Enrollment ID: I20231212003064 |
Provider Name | Roshan D Rajani |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336494145 PECOS PAC ID: 2567785694 Enrollment ID: I20240125004851 |
Provider Name | Rick Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396079562 PECOS PAC ID: 3375938673 Enrollment ID: I20240302000307 |
Provider Name | Hilda Deen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538778543 PECOS PAC ID: 5294145652 Enrollment ID: I20240415003612 |
Provider Name | Monica R Escobedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336779081 PECOS PAC ID: 0345647574 Enrollment ID: I20240506001159 |
Provider Name | Angeline J Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679033203 PECOS PAC ID: 8123360856 Enrollment ID: I20240506001759 |
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