Provider Demographics
NPI:1740262104
Name:STONE, GERTRUDE OEHMIG (MD)
Entity type:Individual
Prefix:
First Name:GERTRUDE
Middle Name:OEHMIG
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4230 HARDING PIKE
Mailing Address - Street 2:SUITE 530
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2013
Mailing Address - Country:US
Mailing Address - Phone:615-297-6006
Mailing Address - Fax:615-222-1200
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 530
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-6006
Practice Address - Fax:615-222-1200
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN20566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4269174OtherBLUE CROSS-BLUE SHIELD
TN3060751Medicaid
TNP00936802OtherRR MEDICARE
TNE67990Medicare UPIN
TNP00936802OtherRR MEDICARE
TN4269174OtherBLUE CROSS-BLUE SHIELD