Organization Active NPI

Zellem Neurosurgical Asso

  • Neurological Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1285826925
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20953 Issued in TN
Legal business name
ZELLEM NEUROSURGICAL ASSO
Practice address
353 New Shackle Island Rd
Suite 100a
Hendersonville, TN 37075-2379
Phone
(615) 264-1750
Fax
(615) 264-8585
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. Ronald Theodore Zellem, M.D.
Title
President
Phone
(615) 264-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 20953 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd
Suite 100a
Hendersonville, TN 37075-2379

Mailing address

242 W Main St
#233
Hendersonville, TN 37075-3318
Phone (615) 264-1750

National Provider Directory

National Provider Directory

Locations

353 New Shackle Island Rd
Ste 100A
Hendersonvlle, TN 37075
Phone (515) 264-1750

242 W Main St
Hendersonvlle, TN 37075
Phone (615) 264-1750

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1285826925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST",
            "address_2": "#233",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753318",
            "telephone_number": "615-264-1750",
            "fax_number": "615-264-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 100A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-264-1750",
            "fax_number": "615-264-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLEM NEUROSURGICAL ASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "ZELLEM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-264-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "20953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.