1407977184 NPI number — DR. MEGAN PARTRIDGE STAUFFER MD

Table of content: DR. MEGAN PARTRIDGE STAUFFER MD (NPI 1407977184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407977184 NPI number — DR. MEGAN PARTRIDGE STAUFFER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STAUFFER
Provider First Name:
MEGAN
Provider Middle Name:
PARTRIDGE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PARTRIDGE
Provider Other First Name:
MEGAN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407977184
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
616 W LAMAR ALEXANDER PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARYVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37801-3904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-273-0008
Provider Business Mailing Address Fax Number:
865-895-4090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5002 CROSSING CIRCLE
Provider Second Line Business Practice Location Address:
STE 260
Provider Business Practice Location Address City Name:
MOUNT JULIET
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37122-8590
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-553-3404
Provider Business Practice Location Address Fax Number:
865-865-4090
Provider Enumeration Date:
04/02/2007

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: 207K00000X , with the licence number:  42437 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X , with the licence number: MD42437 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 3000930 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com