1700972015 NPI number — JAMES B MCPIKE II M.D.

Table of content: JAMES B MCPIKE II M.D. (NPI 1700972015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700972015 NPI number — JAMES B MCPIKE II M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCPIKE
Provider First Name:
JAMES
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
II
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700972015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 20TH AVE N STE 403
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-5180
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-284-7261
Provider Business Mailing Address Fax Number:
615-284-7501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1840 MEDICAL CENTER PKWY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37129-3237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-867-5028
Provider Business Practice Location Address Fax Number:
615-867-6650
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  63380 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0001X , with the licence number: 63880 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1700972015 . This is a "TRICARE PRIME ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700972015 . This is a "BCBS OF IL ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 524102 . This is a "HEALTHLINK ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 0516995 . This is a "CIGNA ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700972015AA . This is a "ESSENCE ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700972015 . This is a "HUMANA GOLD CHOICE ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 343215 . This is a "GHP ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 7041118 . This is a "AETNA ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 2091091 . This is a "FIRST HEALTH ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700972015 . This is a "TRICARE STANDARD ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 110074 . This is a "HEALTH ALLIANCE ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: P00612888 . This is a "RR MEDICARE ID#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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