Cookeville Cardiac Anesthesia, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COOKEVILLE CARDIAC ANESTHESIA, P.C.

Practice address

682 Canter LN
Cookeville, TN 38501-4523

Phone

(931) 526-8513

Fax

(931) 526-5422

NPI assigned

Jul 24, 2006

Last updated

Aug 24, 2015By 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

Dr. Steven L Clemons, M.D.NPI 1124052972

Title

President

Phone

(931) 526-8513

Specialties & licenses 1

Addresses

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.

• Steven L Clemons

  • Specialist
  • Cookeville, TN
  • NPI 1124052972
  Authorized official Same address or phone

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1396767968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888152",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958152",
            "telephone_number": "931-526-8513",
            "fax_number": "931-526-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 CANTER LN",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014523",
            "telephone_number": "931-526-8513",
            "fax_number": "931-526-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE CARDIAC ANESTHESIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-526-8513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.