Skyline Medical Group Llc
LBN: Skyline Medical Group Llc
Skyline Medical Group Llc is an health care organization with primary practice located at 3443 Dickerson Pike Suite G-30, Nashville TN 37207-2519. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Other Service Providers / Specialist is the primary health care specialty.
Skyline Medical Group Llc can be contacted via phone (615) 234-6390, or through Rydburg, Jeff via phone (615) 373-7415.
Contact Information
Primary practice address
3443 Dickerson Pike Suite G-30
Nashville TN 37207-2519
Phone: (615) 234-6390
Fax: (615) 234-6393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1336154202 |
|---|---|
| LBN Legal business name | Skyline Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Rydburg, Jeff |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Apr 30th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336154202 | NPPES |
| Tennessee | MEDICAID | 3735178 |
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