Provider Demographics
NPI:1033156310
Name:HEFLIN, ASA CLYDE (MD)
Entity Type:Individual
Prefix:
First Name:ASA
Middle Name:CLYDE
Last Name:HEFLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-269-4584
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11149207R00000X, 207RP1001X
KY17683207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN104700OtherUNITED HEALTH CARE
KY64771728Medicaid
TN1507757Medicaid
TN4066749OtherAETNA
TN12541392OtherMULTIPLAN/PHCS
TN290013538OtherMEDICARE RR
TN8494444OtherUSO/MCO
TN01061845OtherAMERIGROUP
TN2520154OtherCIGNA
TN3164317OtherBLUE CROSS OF TN
KY17683Medicare PIN
KY64771728Medicaid
TN3184393Medicare PIN