Associated Podiatrists of Tennessee
Organization Active NPI Podiatrist · Dickson, TN
NPI 1114010386 · NPPES record last updated Sep 9, 2010
Key facts
- NPI
- 1114010386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ASSOCIATED PODIATRISTS OF TENNESSEE
- Practice address
- 214 Skyline Cir
Dickson, TN 37055-2561 - Phone
- (615) 441-0002
- Fax
- (615) 446-2827
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Ramgsh Babu Pavuluri, DPM
- Title
- Vice President
- Phone
- (615) 441-0002
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Vijay Pavuluri, D.P.M
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110126000027 | TN | Part B Supplier - Clinic/Group Practice | 1153440094 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Dickson, TN; Clarksville, TN |
National Provider Directory
Locations
214 Skyline Cir
Dickson, TN 37055
Phone (615) 441-0002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
214 Skyline Cir
Dickson, TN 37055-2561
Mailing address
214 Skyline Cir
Dickson, TN 37055-2561
Phone (615) 441-0002
Other names
- Dickson Foot Clinic
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.