Provider Demographics
NPI:1073690095
Name:JON H LEVINE
Entity Type:Organization
Organization Name:JON H LEVINE
Other - Org Name:LEVINE & SHARP ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-329-1733
Mailing Address - Street 1:1916 PATTERSON ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2120
Mailing Address - Country:US
Mailing Address - Phone:615-329-1733
Mailing Address - Fax:615-329-1734
Practice Address - Street 1:1916 PATTERSON ST
Practice Address - Street 2:SUITE 710
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2120
Practice Address - Country:US
Practice Address - Phone:615-329-1733
Practice Address - Fax:615-329-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20148207RE0101X
TN19021207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3729494Medicare ID - Type UnspecifiedGROUP