Organization Active NPI

Patient Centered Diagnostics PLC

  • Dermatopathology Physician
  • Nashville, TN
National Provider Identifier
1215354980
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
39425 Issued in TN
Legal business name
PATIENT CENTERED DIAGNOSTICS PLC
Practice address
4220 Harding Pike
Suite 504
Nashville, TN 37205-2005
Phone
(615) 298-4100
Fax
(615) 298-4141
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. Chris Shurden
Title
Practice Manager
Phone
(615) 298-4100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 42115 TN
Dermatopathology Physician 207ND0900X 47062 TN
Dermatopathology Physician 207ND0900X 39425 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 16790 TN

Addresses

Primary practice location

4220 Harding Pike
Suite 504
Nashville, TN 37205-2005

Mailing address

4220 Harding Pike
Suite 504
Nashville, TN 37205-2005
Phone (615) 298-4100

National Provider Directory

National Provider Directory

Locations

4220 Harding Pike
Ste 504
Nashville, TN 37205
Phone (615) 298-4100

Practitioners & affiliated clinicians

Practitioners 3

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1215354980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-298-4100",
            "fax_number": "615-298-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-298-4100",
            "fax_number": "615-298-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED DIAGNOSTICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "SHURDEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-298-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "42115",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "47062",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "39425",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "16790",
            "primary": false
        }
    ],
    "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 Mar 19, 2014; 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.