Provider Demographics
NPI:1558309971
Name:EMBRY, STEVEN A (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:EMBRY
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 1:250 25TH AVE S STE 300-B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212
Mailing Address - Country:US
Mailing Address - Phone:615-340-2275
Mailing Address - Fax:615-340-2280
Practice Address - Street 1:250 25TH AVE S STE 300-B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-340-2275
Practice Address - Fax:615-340-2280
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29088208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5374676OtherAETNA
TN3062698OtherBCBS
TN3816948Medicaid
KY6486341800OtherKENTUCKY MEDICAID
P00375940OtherRAILROAD MEDICARE
TN4141586OtherBCBS
TN4141586OtherBCBS
3816946Medicare PIN
KY6486341800OtherKENTUCKY MEDICAID