Active NPI
Stephen L Hammerman M.D.LLC
- Primary Care Clinic/Center
- Goodlettsville, TN
National Provider Identifier
1295982775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD021578
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3061420 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.