Provider Demographics
NPI:1124029699
Name:ABBEY, PAUL A (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:ABBEY
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 1:5653 FRIST BLVD STE 731
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2066
Mailing Address - Country:US
Mailing Address - Phone:615-885-2778
Mailing Address - Fax:615-986-6052
Practice Address - Street 1:5653 FRIST BLVD STE 731
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2066
Practice Address - Country:US
Practice Address - Phone:615-885-2778
Practice Address - Fax:615-986-6052
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21535207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3062926Medicaid
TN4209236OtherBCBS
TN3062926Medicaid
TN3062926Medicare ID - Type UnspecifiedMEDICARE, CIGNA PART B
TNP00808698Medicare PIN