Organization Active NPI

Tristar Gynecology Oncology, LLC

  • Gynecologic Oncology Physician
  • Nashville, TN
National Provider Identifier
1003152208
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
TRISTAR GYNECOLOGY ONCOLOGY, LLC
Practice address
330 23Rd Ave N
Suite 600
Nashville, TN 37203-1534
Phone
(615) 340-4640
Fax
(615) 340-4642
NPI assigned
Dec 17, 2012
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan Sykes
Title
Authorized Official
Phone
(615) 342-6878

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TN
Gynecologic Oncology Physician 207VX0201X TN Primary

Addresses

Primary practice location

330 23Rd Ave N
Suite 600
Nashville, TN 37203-1534

Mailing address

330 23Rd Ave N
Suite 600
Nashville, TN 37203-1534
Phone (615) 340-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130129000089 TN Part B Supplier - Clinic/Group Practice 1254585276 Receives reassigned benefits from 7 practitioners
Practice locations: Hendersonville, TN; Brentwood, TN; Nashville, TN; Lebanon, TN

National Provider Directory

National Provider Directory

Locations

740 Cool Springs Blvd
Ste 110
Franklin, TN 37067
Phone (615) 599-6868

2933 Medical Center Pkwy
Ste E
Murfreesboro, TN 37129

2933 Medical Center Pkwy
Ste F
Murfreesboro, TN 37129

330 23rd Ave N
Ste 600
Nashville, TN 37203

300 Stonecrest Blvd
Ste 390D
Smyrna, TN 37167

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1003152208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-340-4640",
            "fax_number": "615-340-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-340-4640",
            "fax_number": "615-340-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR GYNECOLOGY ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-342-6878"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.