Hermitage Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HERMITAGE PRIMARY CARE LLC

Practice address

5653 Frist Blvd
Suite 236
Hermitage, TN 37076-2062

Phone

(615) 232-8812

Fax

(615) 232-8815

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Duncan

Title

VP

Phone

(615) 373-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• John R Chauvin, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1326017856
  NPD (past)
• Lawrence H. Yoo, MD

  • Internal Medicine Physician
  • St Charles, IL
  • NPI 1912167669
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1023064540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 236",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762062",
            "telephone_number": "615-232-8812",
            "fax_number": "615-232-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 236",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762062",
            "telephone_number": "615-232-8812",
            "fax_number": "615-232-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hermitage Inpatient Services PLLC
• Hermitage Internal Medecine PC
• Hermitage Modern Dentistry, PC
• Hermitage Nursing & Rehabilitation Center LLC
• Hermitage Pediatric Dentistry
• Hermitage Psychiatric Group
• Hermitage TN Endoscopy ASC, LLC
• Hannah Hertel, PA-C
• Shelby Hesser, PHARMD
• Joseph William Hewgley, PT

• Internal Medicine Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.