Clarksville Sportsmed & Wellness

LBN: Clarksville Sportsmed & Wellness
Clarksville Sportsmed & Wellness is an health care organization with primary practice located at 2690 Madison Street Ste 130, Clarksville TN 37043-5458. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Clarksville Sportsmed & Wellness can be contacted via phone (931) 645-6990, or through Naseeruddin, Syed Ahmed via phone (931) 645-6990.

Contact Information

Primary practice address
2690 Madison Street Ste 130 Clarksville TN 37043-5458
Phone: (931) 645-6990
Fax: (931) 245-1720
Website:
Map and Directions
Authorized official contact:
Name: Naseeruddin, Syed Ahmed Doctor of Medicine (MD)
Phone: (931) 645-6990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD45045 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN15967 Tennessee

Profile Details

NPI number 1588941942
LBN Legal business name Clarksville Sportsmed & Wellness
DBA Doing business as
Authorized official Naseeruddin, Syed Ahmed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2011
Last updated Jun 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588941942 NPPES
Tennessee Other 4324612 BCBSTN
Tennessee MEDICAID 1527840 BCBSTN

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