Provider Demographics
NPI:1851303788
Name:DWYER, JAMIE P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:P
Last Name:DWYER
Suffix:JR
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:NEPHROLOGY AND HYPERTENSION
Mailing Address - Street 2:MCN S-3223, VANDERBILT MEDICAL CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-322-5914
Mailing Address - Fax:615-343-2605
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:615-936-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83101207RN0300X
TN43912207RN0300X
UT12514903-1205207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110234022OtherRAILROAD MEDICARE
FL05073OtherBLUE CROSS BLUE SHIELD
FL263492900Medicaid
FL110234022OtherRAILROAD MEDICARE