Vanderbilt Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

15818 Issued in TN

Legal business name

VANDERBILT HOSPITAL

Practice address

4450 Ironhorse Way
Clarksville, TN 37040-5457

Phone

(931) 905-0015

NPI assigned

May 10, 2011

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Morris, MD

Title

Trauma Director

Phone

(615) 936-0175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1346532306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 21ST AVE S",
            "address_2": "1012 OXFORD HOUSE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-1311",
            "fax_number": "615-936-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 IRONHORSE WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405457",
            "telephone_number": "931-905-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TRAUMA DIRECTOR",
        "authorized_official_telephone_number": "615-936-0175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "15818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Vance, LPN
• Anastacia Vance
• Kristin Vance, RBT
• Lyndsey Vancleave
• Bradley Scott Vander Veen, MD
• Vanderbilt-Ingram Cancer Center Clarksville, LLC (Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville)
• Remington Vandergriff, LCSW
• Hailey Vanderpool
• Garig Vanderveldt, MD
• Gina Vanderveldt, NP

• General Acute Care Hospital in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Acute Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.