| Midstate Health Associates Inc | |
|
2201 Murphy Ave Suite # 220 Nashville TN 37203-1835 | |
| (615) 329-0494 | |
| (615) 515-0205 |
| Full Name | Midstate Health Associates Inc |
|---|---|
| Speciality | General Practice |
| Location | 2201 Murphy Ave, Nashville, Tennessee |
| Authorized Official Name and Position | John T. Adewumi (PHYSICIAN) |
| Authorized Official Contact | 6153290494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midstate Health Associates Inc 2201 Murphy Ave Suite # 220 Nashville TN 37203-1835 Ph: (615) 329-0494 | Midstate Health Associates Inc 2201 Murphy Ave Suite # 220 Nashville TN 37203-1835 Ph: (615) 329-0494 |
| NPI Number | 1063407856 |
|---|---|
| Provider Enumeration Date | 09/17/2005 |
| Last Update Date | 06/02/2022 |
| Medicare PECOS PAC ID | 3971585936 |
|---|---|
| Medicare Enrollment ID | O20040603000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063407856 | NPI | - | NPPES |
| 3725544 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John T Adewumi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880737 PECOS PAC ID: 6608848601 Enrollment ID: I20040810001169 |
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