Northwest Iom Specialists

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

694976 Issued in OR

Legal business name

NORTHWEST IOM SPECIALISTS

Practice address

1900 Church St
Suite 102
Nashville, TN 37203-2234

Phone

(615) 329-3301

Fax

(615) 329-3302

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

David Patrick McCrea

Title

President

Phone

(615) 329-3301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1245429455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHURCH ST",
            "address_2": "SUITE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032234",
            "telephone_number": "615-329-3301",
            "fax_number": "615-329-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHURCH ST",
            "address_2": "SUITE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032234",
            "telephone_number": "615-329-3301",
            "fax_number": "615-329-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOM SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-329-3301"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "OR",
            "license": "694976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Northcutt, DC
• Rachel Northcutt, PT, DPT, CSCS
• Northern Tennessee Pain Management Center
• Sarah Allison Williams Northrop, MD
• Christopher Joe Northup, M.D.
• Olivia Nortman
• Allison Norton, MD
• Cathey Porterfield Norton, PT
• Douglas Norton, M.D.
• Sean Norton, MSN

• Electroneurodiagnostic Specialist/Technologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Electroneurodiagnostic Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.