Northcrest Physician Services Inc

LBN: Northcrest Physician Services Inc
Northcrest Physician Services Inc is an health care organization with primary practice located at 417 Northcrest Dr 430 Northcrest Dr, Springfield TN 37172-3973. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Northcrest Physician Services Inc can be contacted via phone (615) 382-5710, or through Davis, Jerlyn S via phone (615) 382-5710.

Contact Information

Primary practice address
417 Northcrest Dr 430 Northcrest Dr Springfield TN 37172-3973
Phone: (615) 382-5710
Fax: (615) 382-5776
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jerlyn S
Phone: (615) 382-5710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24985 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31309 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD6465 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 37667 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31565 Tennessee

Profile Details

NPI number 1356561856
LBN Legal business name Northcrest Physician Services Inc
DBA Doing business as
Authorized official Davis, Jerlyn S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 28th, 2008 - about 16 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 1356561856 NPPES
Tennessee Other 3709970 MEDICARE GROUP NUMBER
Tennessee Other 3371051 MEDICARE GROUP NUMBER
Tennessee Other 3709979 MEDICARE GROUP NUMBER

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