Provider Demographics
NPI:1417986688
Name:HASLAM, JASON K (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:K
Last Name:HASLAM
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:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-340-1222
Practice Address - Fax:615-340-5070
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40324207X00000X, 207XS0106X
IDMC-2569207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4207969OtherBCBS
TN4129574OtherBCBS
TN4351528OtherBCBS TN
TN3816037Medicaid
TN1511195Medicaid
KY7100190980Medicaid
TNI60499Medicare UPIN
TN3816037Medicaid
TN4207969OtherBCBS
TN1511195Medicaid
TN4351528OtherBCBS TN