Organization Active NPI

Stephen L Hammerman M.D.LLC

  • Primary Care Clinic/Center
  • Goodlettsville, TN
National Provider Identifier
1295982775
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD021578 Issued in TN
Legal business name
STEPHEN L HAMMERMAN M.D.LLC
Practice address
601 S Main St
Suite a
Goodlettsville, TN 37072-1758
Phone
(615) 859-2973
Fax
(615) 851-6797
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Stephan L Hammerman, M.D.
Title
MD / Owner
Phone
(615) 859-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD021578 TN Primary

Addresses

Primary practice location

601 S Main St
Suite a
Goodlettsville, TN 37072-1758

Mailing address

601 S Main St
Suite a
Goodlettsville, TN 37072-1758
Phone (615) 859-2973

Other identifiers 1

IdentifierTypeStateIssuer
3061420MedicaidTN

National Provider Directory

National Provider Directory

Locations

601 S Main St
Ste A
Goodlettsvlle, TN 37072
Phone (615) 859-2973

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1295982775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721758",
            "telephone_number": "615-859-2973",
            "fax_number": "615-851-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721758",
            "telephone_number": "615-859-2973",
            "fax_number": "615-851-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L HAMMERMAN M.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "HAMMERMAN",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "615-859-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD021578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061420",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.