Provider Demographics
NPI:1083616387
Name:GLASSFORD, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GLASSFORD
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 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-7211
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:STE 530
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-222-5500
Practice Address - Fax:615-222-5601
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD010619208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4323860OtherBCBST
TNP01004450OtherRR MEDICARE
TN1528401Medicaid
TN1528401Medicaid
TN2835028003OtherCIGNA PPO
TN3740029OtherUNITED HEALTHCARE
NE4066881OtherAETNA PPO
TN3172475Medicaid
TN54317OtherBCBS OF TENNESSEE
TN0995580OtherAETNA HMO