Crestmoor Surgical Associates Pllc

LBN: Crestmoor Surgical Associates Pllc
Crestmoor Surgical Associates Pllc is an health care organization with primary practice located at 2103 Crestmoor Rd , Nashville TN 37215-2614. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Crestmoor Surgical Associates Pllc can be contacted via phone (615) 921-2100, or through Wendel, James J via phone (615) 921-2100.

Contact Information

Primary practice address
2103 Crestmoor Rd Nashville TN 37215-2614
Phone: (615) 921-2100
Fax: (615) 921-2101
Website:
Map and Directions
Authorized official contact:
Name: Wendel, James J Doctor of Medicine (MD)
Phone: (615) 921-2100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36486 Tennessee

Profile Details

NPI number 1013266303
LBN Legal business name Crestmoor Surgical Associates Pllc
DBA Doing business as
Authorized official Wendel, James J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2012
Last updated Aug 5th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013266303 NPPES
Tennessee MEDICAID 1531362

Popular Providers