Provider Demographics
NPI:1629300629
Name:NASHVILLE CARDIOTHORACIC SURGEONS PLLC
Entity Type:Organization
Organization Name:NASHVILLE CARDIOTHORACIC SURGEONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SUSUMO
Authorized Official - Last Name:BINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-376-9114
Mailing Address - Street 1:555 CHURCH ST E
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4894
Mailing Address - Country:US
Mailing Address - Phone:615-376-9114
Mailing Address - Fax:615-376-9116
Practice Address - Street 1:555 CHURCH ST E
Practice Address - Street 2:SUITE 102
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4894
Practice Address - Country:US
Practice Address - Phone:615-376-9114
Practice Address - Fax:615-376-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35325208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPENDINGMedicaid
TNPENDINGMedicare PIN
TNG00220Medicare UPIN