Provider Demographics
NPI:1154309896
Name:FLEMING, PHILIP E (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
Last Name:FLEMING
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 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:2222 STATE ST
Practice Address - Street 2:STE 200B-1
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1845
Practice Address - Country:US
Practice Address - Phone:615-377-7702
Practice Address - Fax:615-377-7741
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000014474174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6029206OtherBCBS
TNQ010852Medicaid
TN6029206OtherBCBS
TN103I247686Medicare PIN