Provider Demographics
NPI:1275573974
Name:SINGER, GARY DUANE (DO)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:DUANE
Last Name:SINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633819
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:865-292-3000
Mailing Address - Fax:
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1538
Practice Address - Country:US
Practice Address - Phone:615-342-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN01220207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00384357OtherRAILROAD MEDICARE
TN3081618OtherBLUECROSS
MO206275307Medicaid
TN3305053Medicaid
TN4151535OtherBLUECROSS
MOP00733600OtherRAILROAD MEDICARE
TN3305054Medicaid
KY64868375Medicaid
MO206275307Medicaid
TN3305053Medicaid
E00763Medicare UPIN
MOP00733600OtherRAILROAD MEDICARE