Provider Demographics
NPI:1467491043
Name:CONTARINO, JOSEPH R (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:CONTARINO
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:PO BOX 636019
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6019
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2464 OLD FORT PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4163
Practice Address - Country:US
Practice Address - Phone:615-410-3137
Practice Address - Fax:615-410-3427
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000018618207P00000X
PAMD442282207P00000X
WV24889207P00000X
TNMD018618207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4024693OtherBCBST
11591719OtherCAQH
TNP00246165OtherRAILROAD MEDICARE
AL890-26201OtherBCBSAL
TN3830043Medicaid
AL890-26201OtherBCBSAL
TN3830043Medicare PIN