Provider Demographics
NPI:1154485720
Name:MIDDLE TN CARDIOTHORACIC & VASCULAR ASSOCIATES PC
Entity Type:Organization
Organization Name:MIDDLE TN CARDIOTHORACIC & VASCULAR ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:PINKARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-377-5094
Mailing Address - Street 1:9180 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8502
Mailing Address - Country:US
Mailing Address - Phone:615-377-5094
Mailing Address - Fax:615-316-0318
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE 709
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-316-0380
Practice Address - Fax:615-316-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD016415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3846527Medicaid
TN1841230810OtherINDIVIDUAL NPI DR PINKARD
TN3846527Medicaid
TN3846527Medicare ID - Type Unspecified