| Frpg, Llc | |
|
651 Dunlop Ln Clarksville TN 37040-5015 | |
| (931) 502-1000 | |
| Not Available |
| Full Name | Frpg, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 651 Dunlop Ln, Clarksville, Tennessee |
| Authorized Official Name and Position | Ronald C Rentuza (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8009623303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frpg, Llc Po Box 440151 Nashville TN 37244-0151 Ph: (800) 962-3303 | Frpg, Llc 651 Dunlop Ln Clarksville TN 37040-5015 Ph: (931) 502-1000 |
| NPI Number | 1144685546 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Medicare PECOS PAC ID | 2769785377 |
|---|---|
| Medicare Enrollment ID | O20160114001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144685546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christian F Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508839440 PECOS PAC ID: 7618951088 Enrollment ID: I20040614001558 |
| Provider Name | Ronald C Rentuza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275520827 PECOS PAC ID: 3678553930 Enrollment ID: I20040726000800 |
| Provider Name | Fakhri Dalati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013967835 PECOS PAC ID: 3173590320 Enrollment ID: I20051202000720 |
| Provider Name | Haroon N Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730114315 PECOS PAC ID: 9931103173 Enrollment ID: I20061010000383 |
| Provider Name | Minesh N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407947666 PECOS PAC ID: 4981604923 Enrollment ID: I20061222000094 |
| Provider Name | Saad U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538356571 PECOS PAC ID: 7012099849 Enrollment ID: I20080131000522 |
| Provider Name | Priscilla Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477738052 PECOS PAC ID: 6507937661 Enrollment ID: I20080617000345 |
| Provider Name | Retty Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861560492 PECOS PAC ID: 1052374212 Enrollment ID: I20080902000155 |
| Provider Name | David B Olalekan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043471717 PECOS PAC ID: 9931275047 Enrollment ID: I20080912000562 |
| Provider Name | Luis G Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962457069 PECOS PAC ID: 2668530288 Enrollment ID: I20081024000599 |
| Provider Name | Margaret L Keith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801839063 PECOS PAC ID: 8820900137 Enrollment ID: I20090825000611 |
| Provider Name | Keith L Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225253883 PECOS PAC ID: 5496923500 Enrollment ID: I20110715000381 |
| Provider Name | Arman M Hakimian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801069471 PECOS PAC ID: 0941465736 Enrollment ID: I20120628000538 |
| Provider Name | Mark A Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417004136 PECOS PAC ID: 0143326322 Enrollment ID: I20130918000838 |
| Provider Name | Mary Jeannette Hopkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396060133 PECOS PAC ID: 2466686548 Enrollment ID: I20131002000690 |
| Provider Name | Heather N Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619385952 PECOS PAC ID: 3971724089 Enrollment ID: I20141014001702 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20150422001782 |
| Provider Name | Amanda Moore Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033496286 PECOS PAC ID: 1254556392 Enrollment ID: I20150519002096 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20150825003728 |
| Provider Name | Shannon D Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364431 PECOS PAC ID: 3971812330 Enrollment ID: I20151026001545 |
| Provider Name | Harold H Batson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609835420 PECOS PAC ID: 5991700759 Enrollment ID: I20160414001251 |
| Provider Name | Olusola Kolade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639497779 PECOS PAC ID: 0648592147 Enrollment ID: I20160509001839 |
| Provider Name | Saman Selahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20160516002498 |
| Provider Name | Joseph R Garrido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659714798 PECOS PAC ID: 3577799311 Enrollment ID: I20160705002205 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20160907001237 |
| Provider Name | Shannon Rea Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508261702 PECOS PAC ID: 9436472057 Enrollment ID: I20161012002338 |
| Provider Name | Nadav D Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689010076 PECOS PAC ID: 2860770237 Enrollment ID: I20161107000443 |
| Provider Name | Onyinye O Offor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275935512 PECOS PAC ID: 9931400199 Enrollment ID: I20170215002553 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20170302000480 |
| Provider Name | Raymond J Giammanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629180245 PECOS PAC ID: 1951302892 Enrollment ID: I20170308001795 |
| Provider Name | Javan Alphonso Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597314 PECOS PAC ID: 3971563065 Enrollment ID: I20170725000815 |
| Provider Name | Andrea Dadisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982085569 PECOS PAC ID: 0446526537 Enrollment ID: I20171017002062 |
| Provider Name | Wendy Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063929289 PECOS PAC ID: 6507120276 Enrollment ID: I20180503002761 |
| Provider Name | Allison Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780181263 PECOS PAC ID: 6709141229 Enrollment ID: I20180601002173 |
| Provider Name | Michael B Humble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912110594 PECOS PAC ID: 9830244979 Enrollment ID: I20180626001606 |
| Provider Name | Jamie Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831693399 PECOS PAC ID: 1153679899 Enrollment ID: I20180813000988 |
| Provider Name | Lekshmi Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559511 PECOS PAC ID: 1052612942 Enrollment ID: I20180828003057 |
| Provider Name | Adugnaw Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689058398 PECOS PAC ID: 1153671268 Enrollment ID: I20180911003790 |
| Provider Name | Michelle Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659786051 PECOS PAC ID: 5092087957 Enrollment ID: I20180912001334 |
| Provider Name | Vikas Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912380809 PECOS PAC ID: 7214288364 Enrollment ID: I20180928001441 |
| Provider Name | Maheswara Reddy Koppula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588017305 PECOS PAC ID: 4486983475 Enrollment ID: I20190917003010 |
Veincare Centers Of Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Lane, Suite 100, Clarksville, TN 37040 Phone: 931-551-8991 Fax: 931-551-4053 | |
Center For Pulmonary & Sleep Medicine, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Clear Sky Ct, Ste B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648 | |
Hopewell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Kraft St, Clarksville, TN 37040 Phone: 931-645-7866 Fax: 931-645-7766 | |
Matthew Walker Comprehensive Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Dover Rd, Clarksville, TN 37042 Phone: 931-920-5000 Fax: 615-320-6033 | |
Medical Direct Care, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Hatcher Lane, Suite B, Clarksville, TN 37040 Phone: 931-221-0902 Fax: 931-221-0602 | |
Nebben Physical Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 282 Clear Sky Ct, Clarksville, TN 37043 Phone: 931-647-1199 Fax: 931-647-7010 | |
Stephen A. White, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2289 B Rudolphtown Road, Clarksville, TN 37043 Phone: 931-552-3031 Fax: 931-552-9820 |