Parkridge Medical Associates Llc

LBN: Parkridge Medical Associates Llc
Parkridge Medical Associates Llc is an health care organization with primary practice located at 1013 Executive Drive Suite 101, Hixson TN 37343. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Parkridge Medical Associates Llc can be contacted via phone (423) 648-7191, or through Rydburg, Jeff via phone (615) 373-7415.

Contact Information

Primary practice address
1013 Executive Drive Suite 101 Hixson TN 37343
Phone: (423) 648-7191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rydburg, Jeff
Phone: (615) 373-7415

Health care specialties

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

Profile Details

NPI number 1447288477
LBN Legal business name Parkridge Medical Associates Llc
DBA Doing business as
Authorized official Rydburg, Jeff
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2006
Last updated Dec 11th, 2007 - about 18 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 1447288477 NPPES
Tennessee MEDICAID 3732869

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