Provider Demographics
NPI:1437204732
Name:SCALES, THOMAS RISDON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RISDON
Last Name:SCALES
Suffix:JR
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 1:105 WESTPARK DR STE 410
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5674
Mailing Address - Country:US
Mailing Address - Phone:615-219-5990
Mailing Address - Fax:615-219-5990
Practice Address - Street 1:2900 VANDERBILT PL STE 200B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2518
Practice Address - Country:US
Practice Address - Phone:615-560-7343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000036454207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508618Medicaid
TN3765833OtherCIGNA PROVIDER NUMBER
TN4045509OtherBLUE CROSS PROVIDER NUMBE
TN331013250OtherAETNA PROVIDER NUMBER
TN4045509OtherBLUE CROSS PROVIDER NUMBE
TN331013250OtherAETNA PROVIDER NUMBER