Provider Demographics
NPI:1689623167
Name:ALVAREZ, RONALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:D
Last Name:ALVAREZ
Suffix:
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 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-322-3000
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11426207VX0201X
TNMD54634207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009969445Medicaid
AL009912404Medicaid
AL130530Medicaid
AL1594806OtherEMERGENCY LA MEDICAID
AL000018248Medicaid
AL051523881OtherBLUE CROSS
AL051539050OtherBLUE CROSS
AL160005902OtherRAILROAD MEDICARE
AL051525119OtherBLUE CROSS
AL051543189OtherBLUE CROSS
ALC74602OtherHEALTHSPRING
ALC74608OtherVIVA
AL009932802Medicaid
AL009941163Medicaid
AL00125158OtherMISSISSIPPI MEDICAID
AL000018248OtherBLUE CROSS
AL051529995OtherBLUE CROSS
AL000018248Medicare ID - Type Unspecified
AL009969445Medicaid