| Centennial Hospitalists, Llc | |
|
2300 Patterson St Nashville TN 37203-1538 | |
| (615) 342-6828 | |
| Not Available |
| Full Name | Centennial Hospitalists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Patterson St, Nashville, Tennessee |
| Authorized Official Name and Position | Dan Sykes (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6153426878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Hospitalists, Llc 2300 Patterson St Nashville TN 37203-1538 Ph: (615) 342-6828 | Centennial Hospitalists, Llc 2300 Patterson St Nashville TN 37203-1538 Ph: (615) 342-6828 |
| NPI Number | 1558801332 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Medicare PECOS PAC ID | 8820369218 |
|---|---|
| Medicare Enrollment ID | O20170803000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558801332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor Vallejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679539886 PECOS PAC ID: 6800868431 Enrollment ID: I20040812000672 |
| Provider Name | Sanford J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891782454 PECOS PAC ID: 7113981747 Enrollment ID: I20041115000243 |
| Provider Name | Thomas A Tesauro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578501904 PECOS PAC ID: 0143268615 Enrollment ID: I20050505000165 |
| Provider Name | Jennifer P Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922048883 PECOS PAC ID: 7012011323 Enrollment ID: I20070327000047 |
| Provider Name | John Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891005856 PECOS PAC ID: 6901054733 Enrollment ID: I20120919000471 |
| Provider Name | Monal P Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396901997 PECOS PAC ID: 5890967061 Enrollment ID: I20151014003283 |
| Provider Name | John T Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023641990 PECOS PAC ID: 9133548217 Enrollment ID: I20200923003316 |
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Wavery Belmont Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 | |
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