1942403969 NPI number — PETER N ARROWSMITH MD PC

Table of content: (NPI 1942403969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942403969 NPI number — PETER N ARROWSMITH MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PETER N ARROWSMITH MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EYE SURGERY CENTER OF MIDDLE TN
Provider Other Organization Name Type Code:
3
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:
1942403969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 25TH AVE N
Provider Second Line Business Mailing Address:
9TH FLOOR
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-1606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-327-2020
Provider Business Mailing Address Fax Number:
615-327-9254

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 25TH AVE N
Provider Second Line Business Practice Location Address:
9TH FLOOR
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-1606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-327-2020
Provider Business Practice Location Address Fax Number:
615-327-9254
Provider Enumeration Date:
06/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARROWSMITH
Authorized Official First Name:
PETER
Authorized Official Middle Name:
NOEL
Authorized Official Title or Position:
PRESIDENT, OWNER
Authorized Official Telephone Number:
615-327-2020

Provider Taxonomy Codes

  • Taxonomy code: 261QS0132X , with the licence number:  0000000005 , 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: 3287039 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1000981 . This is a "BLUE CROSS PROVIDER NUMBE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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