Organization Active NPI

Cerasmd, LLC

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1366108441
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CERASMD, LLC
Practice address
5400 Maryland Way Ste 100
Brentwood, TN 37027-5048
Phone
(615) 979-9453
NPI assigned
Nov 12, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Dr. Donald Glen Blaschke II, MDNPI 1447271234
Title
Manager
Phone
(615) 979-9453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5400 Maryland Way Ste 100
Brentwood, TN 37027-5048

Mailing address

5400 Maryland Way Ste 100
Brentwood, TN 37027-5048
Phone (615) 979-9453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1366108441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MARYLAND WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275048",
            "telephone_number": "615-979-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MARYLAND WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275048",
            "telephone_number": "615-979-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERASMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "BLASCHKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-979-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.