Organization Active NPI

Joseph B Delozier III MD PLLC

  • Plastic Surgery Physician
  • Nashville, TN
National Provider Identifier
1003941659
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JOSEPH B DELOZIER III MD PLLC
Practice address
209 23Rd Ave N
Nashville, TN 37203-1501
Phone
(615) 565-9000
Fax
(615) 565-9005
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. Joseph B Delozier III, MDNPI 1568597102
Title
Owner
Phone
(615) 565-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

209 23Rd Ave N
Nashville, TN 37203-1501

Mailing address

209 23Rd Ave N
Nashville, TN 37203-1501
Phone (615) 565-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000360 TN Part B Supplier - Clinic/Group Practice 6901879626 Receives reassigned benefits from 2 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1003941659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-565-9000",
            "fax_number": "615-565-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B DELOZIER III MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "DELOZIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-565-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "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 Nov 6, 2013; 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.