Middle Tennessee Plastic Surgery, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

26589 Issued in TN

Legal business name

MIDDLE TENNESSEE PLASTIC SURGERY, P.C.

Practice address

820 Medical Center Parkway
Murfreesboro, TN 37129

Phone

(615) 599-1966

Fax

(615) 599-9536

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

David S Martin, MDNPI 1053317149

Title

President

Phone

(615) 907-1015

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• David S. Martin, M.D. Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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

• David S Martin, MD

  • Plastic Surgery Physician
  • Murfreesboro, TN
  • NPI 1053317149
  Medicare reassignment NPD Authorized official
• Paul Cyril Buechel, MD

  • Neurology Physician
  • Franklin, TN
  • NPI 1942250964
  NPD (past)
• Michael Roger Burgdorf, M.D., M.P.H.

  • Plastic and Reconstructive Surgery Physician
  • Nashville, TN
  • NPI 1841492931

  Plastic Surgery

  NPD (past)
• Cori Ann Jones, NP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1386462679
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1275716680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MEDICAL CENTER PARKWAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-599-1966",
            "fax_number": "615-599-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MEDICAL CENTER PARKWAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-599-1966",
            "fax_number": "615-599-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-907-1015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "26589",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "26589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090992",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1340038",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3012386",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David S. Martin, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Plastic Surgery Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.