Provider Demographics
NPI:1851363303
Name:CARDIOLOGY ASSOCIATES OF NASHVILLE
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF NASHVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-889-1968
Mailing Address - Street 1:5651 FRIST BLVD
Mailing Address - Street 2:SUITE 603
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2054
Mailing Address - Country:US
Mailing Address - Phone:615-889-1968
Mailing Address - Fax:615-889-8527
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE 603
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-889-1968
Practice Address - Fax:615-889-8527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD13765174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3705322Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER