Provider Demographics
NPI:1700940582
Name:THE HEART AND VASCULAR CLINIC P.C.
Entity Type:Organization
Organization Name:THE HEART AND VASCULAR CLINIC P.C.
Other - Org Name:THE HEART AND VASCULAR CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-515-2929
Mailing Address - Street 1:2410 PATTERSON ST STE 212
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1553
Mailing Address - Country:US
Mailing Address - Phone:615-515-2929
Mailing Address - Fax:
Practice Address - Street 1:2410 PATTERSON ST STE 212
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1553
Practice Address - Country:US
Practice Address - Phone:615-515-2929
Practice Address - Fax:615-515-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3881627Medicaid
TN3867912Medicaid
TNF36310Medicare UPIN
TN3881627Medicaid
TN3718191Medicare PIN