Provider Demographics
NPI:1982649257
Name:MARGOLIES, GARY R (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:R
Last Name:MARGOLIES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-1400
Mailing Address - Fax:615-284-1693
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1400
Practice Address - Fax:615-284-1693
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2015-02-06
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Provider Licenses
StateLicense IDTaxonomies
KY30405207RR0500X, 207R00000X
TN21326207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000047065OtherBLUE CROSS & BLUE SHIELD
KY022092900OtherBLACK LUNG INSURANCE
KY1283881OtherUNITED MINE WORKERS ASSOC
KY4603211OtherAETNA INSURANCE COMPANY
KY110128892OtherRAILROAD MEDICARE
KY64304058Medicaid
KY000000047065OtherBLUE CROSS & BLUE SHIELD
KY110128892OtherRAILROAD MEDICARE
KY3937Medicare PIN
KY4603211OtherAETNA INSURANCE COMPANY