Provider Demographics
NPI:1669013124
Name:NEUROSURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:ULM
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:615-986-1256
Mailing Address - Street 1:PO BOX 210127
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-0127
Mailing Address - Country:US
Mailing Address - Phone:615-986-1256
Mailing Address - Fax:
Practice Address - Street 1:3443 DICKERSON PIKE STE 340
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2523
Practice Address - Country:US
Practice Address - Phone:615-320-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUROSURGICAL ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7726850001OtherNCS