Provider Demographics
NPI:1831139799
Name:TUMEN, JON J (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:J
Last Name:TUMEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-269-4584
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2015-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN14404207RP1001X, 207R00000X, 207RS0012X
KY37601207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12079653OtherMULTIPLAN/PHCS
TN3014019Medicaid
TN4075139OtherAETNA
TN01035251OtherAMERIGROUP TENNCARE, AMERIVANTAGE MCR
TN104710OtherUNITED HEALTH CARE
TN1510392Medicaid
TN0918190OtherCIGNA
TN3164325OtherBLUE CROSS OF TN
TN1100326115OtherUSA PPO/GEHA
KY64795891Medicaid
TN290013571OtherMEDICARE RR
TN1031091OtherCOVENTRY
TN849003OtherUSA MCO
TN103I299225Medicare PIN
TN290013571OtherMEDICARE RR
TN3014015Medicare PIN