Provider Demographics
NPI:1467591800
Name:DOUGLAS C. YORK, M.D.
Entity Type:Organization
Organization Name:DOUGLAS C. YORK, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-591-4040
Mailing Address - Street 1:2019 N CAROTHERS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5822
Mailing Address - Country:US
Mailing Address - Phone:615-591-4040
Mailing Address - Fax:615-591-4411
Practice Address - Street 1:2019 N CAROTHERS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5822
Practice Address - Country:US
Practice Address - Phone:615-591-4040
Practice Address - Fax:615-591-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD7790208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0184268OtherBLUE CROSS BLUE SHIELD
B59077Medicare UPIN
3720723Medicare ID - Type Unspecified