Provider Demographics
NPI:1235596180
Name:NATIONAL TELE-NEPHROLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:NATIONAL TELE-NEPHROLOGY ASSOCIATES PC
Other - Org Name:NTNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:S
Authorized Official - Last Name:TANNENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:615-467-0140
Mailing Address - Street 1:511 UNION ST
Mailing Address - Street 2:STE 1800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1733
Mailing Address - Country:US
Mailing Address - Phone:615-467-0140
Mailing Address - Fax:
Practice Address - Street 1:511 UNION ST
Practice Address - Street 2:STE 1800
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1733
Practice Address - Country:US
Practice Address - Phone:615-467-0140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty