Pathway Healthcare Tennessee LLC

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

PATHWAY HEALTHCARE TENNESSEE LLC

Practice address

37 Sandstone Cir
Suite 92
Jackson, TN 38305-2089

Phone

(205) 921-5556

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Scott Olson

Title

Ceo

Phone

(214) 522-8292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1003355652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR",
            "address_2": "SUITE 92",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR",
            "address_2": "SUITE 92",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052089",
            "telephone_number": "205-921-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTHCARE TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-522-8292"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Patel, D.M.D.
• Nirav Patel, M.D.
• Ravi Mahesh Patel, DDS
• Sanjay Patel, PHARM D.
• Vadankumar Manibhai Patel, MD
• Pathways of Tennessee, Inc.
• Pathways of Tennessee, Inc.
• Pathways of Tennessee,Inc
• Patient Centered Physician'S Care, P.C.
• Kimba Patrick

• All providers in Jackson, TN
• Addiction Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.