Provider Demographics
NPI:1912993262
Name:HAWTHORN, FRANCIS A (DPM PC)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:A
Last Name:HAWTHORN
Suffix:
Gender:M
Credentials:DPM PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 CENTRAL PIKE
Mailing Address - Street 2:SUITE 353
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3422
Mailing Address - Country:US
Mailing Address - Phone:615-889-2323
Mailing Address - Fax:615-889-2370
Practice Address - Street 1:3901 CENTRAL PIKE
Practice Address - Street 2:SUITE 353
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3422
Practice Address - Country:US
Practice Address - Phone:615-889-2323
Practice Address - Fax:615-889-2370
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000193213E00000X
TNTN0000000193DPM213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0681567OtherAETNA
0433760001OtherPLAMETTO
2470063OtherUNITED HEALTHCARE
3350683OtherMEDICARE
TN010OtherAMERICHOICE
TN3350683Medicaid
0433760001OtherDMERC
2740063OtherUNITED HEALTHCARE
10077228OtherAMERIGROUP
124016OtherCIGNA
2008204OtherBCBST
TN010OtherAMERICHOICE
0681567OtherAETNA
2008204OtherBCBST
0433760001Medicare NSC