Provider Demographics
NPI:1508481284
Name:PAZONA MD, PLLC
Entity Type:Organization
Organization Name:PAZONA MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:PAZONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-527-4700
Mailing Address - Street 1:2201 MURPHY AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1885
Mailing Address - Country:US
Mailing Address - Phone:615-527-4700
Mailing Address - Fax:615-527-4705
Practice Address - Street 1:2201 MURPHY AVE STE 403
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1885
Practice Address - Country:US
Practice Address - Phone:615-527-4700
Practice Address - Fax:615-527-4705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ057755Medicaid
TNQ048152Medicaid