Centennial Surgical Associates Llc
LBN: Centennial Surgical Associates Llc
Centennial Surgical Associates Llc is an health care organization with primary practice located at 397 Wallace Rd Suite C414, Nashville TN 37211-4854. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Centennial Surgical Associates Llc can be contacted via phone (615) 781-9499, or through Duncan, Gary via phone (615) 661-1611.
Contact Information
Primary practice address
397 Wallace Rd Suite C414
Nashville TN 37211-4854
Phone: (615) 781-9499
Fax: (615) 781-3882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1134213648 |
|---|---|
| LBN Legal business name | Centennial Surgical Associates Llc |
| DBA Doing business as | |
| Authorized official | Duncan, Gary |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 12th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134213648 | NPPES |
| Tennessee | MEDICAID | 1134213648 | |
| Tennessee | MEDICAID | 3736306 |
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