Organization Active NPI

Syed a Naseeruddin MD LLC

Doing business as Middle-TN Sportsmed & Wellness

  • Sports Medicine (Family Medicine) Physician
  • Clarksville, TN
National Provider Identifier
1376982744
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SYED A NASEERUDDIN MD LLC
Doing business as
Middle-TN Sportsmed & Wellness
Practice address
1762B Memorial Dr
Suite 201
Clarksville, TN 37043-4521
Phone
(931) 645-6990
Fax
(931) 906-9576
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Syed Naseeruddin, MDNPI 1760599575
Title
Owner
Phone
(931) 645-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

1762B Memorial Dr
Suite 201
Clarksville, TN 37043-4521

Mailing address

1762B Memorial Dr
Suite 201
Clarksville, TN 37043-4521
Phone (931) 645-6990

Other names 1

  • Middle-TN Sportsmed & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1762B Memorial Dr
Ste 201
Clarksville, TN 37043
Phone (931) 546-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1376982744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762B MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434521",
            "telephone_number": "931-645-6990",
            "fax_number": "931-906-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762B MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434521",
            "telephone_number": "931-645-6990",
            "fax_number": "931-906-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED A NASEERUDDIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "NASEERUDDIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-645-6990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle-TN Sportsmed & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.