Provider Demographics
NPI:1801996012
Name:TARQUINE, STEVEN S (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:TARQUINE
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 1:222 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1852
Mailing Address - Country:US
Mailing Address - Phone:629-255-3486
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING PIKE STE 501
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2018
Practice Address - Country:US
Practice Address - Phone:629-255-2131
Practice Address - Fax:629-255-4097
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30172207R00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3825460Medicaid
TN38254601Medicaid
KY6434572100OtherKENTUCKY MEDICAID
P00635229OtherRAILROAD MEDICARE
0005323664OtherAETNA
TN6011205OtherBLUE CROSS-BLUE SHIELD
P00635229OtherRAILROAD MEDICARE
KYG73935Medicare UPIN
TN38254601Medicaid