Stonecrest Gateway Primary Care

LBN: Medical Group Stonecrest Pulmonology Llc
Stonecrest Gateway Primary Care is an health care organization with primary practice located at 1725 Medical Center Pkwy Suite 130, Murfreesboro TN 37129-2246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Group Stonecrest Pulmonology Llc can be contacted via phone (615) 494-3939, or through Rydburg, Jeff via phone (615) 373-7415.

Contact Information

Primary practice address
1725 Medical Center Pkwy Suite 130 Murfreesboro TN 37129-2246
Fax: (615) 494-3941
Website:
Authorized official contact:
Name: Rydburg, Jeff

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659439396
LBN Legal business name Medical Group Stonecrest Pulmonology Llc
DBA Doing business as Stonecrest Gateway Primary Care
Authorized official Rydburg, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Dec 11th, 2007 - about 17 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 1659439396 NPPES
Tennessee MEDICAID 3735729

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