Provider Demographics
NPI:1184663494
Name:ALARCON, JOHN J (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:J
Last Name:ALARCON
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 1:3024 BUSINESS PARK CIR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3132
Practice Address - Country:US
Practice Address - Phone:615-851-6033
Practice Address - Fax:615-851-2018
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN216582085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4078476OtherBCBS
TN3061172Medicaid
TN1509243Medicaid
TN3138689OtherBCBS
TN4200489OtherBCBS TN
TN1509243OtherMEDICAID - TN - MTI
TN3131184OtherBCBS
TN4291359OtherBCBS - MTI
KY64713241OtherKY MEDICAID
TN1600682OtherUNITED HEALTHCARE OF TN
TN300104322OtherRAIL ROAD MEDICARE
TN3869362OtherCIGNA
TN4291359OtherBCBS - MTI
TN3131184OtherBCBS
TN3869362OtherCIGNA
TN3061177Medicare PIN
TN30611721Medicare PIN
TN3061172Medicare PIN