Provider Demographics
NPI:1194867465
Name:FRIST CARDIOLOGY, PLLC
Entity Type:Organization
Organization Name:FRIST CARDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAITAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-342-5975
Mailing Address - Street 1:2400 PATTERSON STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-342-7790
Mailing Address - Fax:615-342-5919
Practice Address - Street 1:2400 PATTERSON STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-342-7790
Practice Address - Fax:615-342-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3716314OtherMEDICARE ID
3716315Medicare PIN