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

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.

Title

President

Phone

(931) 526-8513

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732052",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Lee Conner, PA-C
• Continuum Healthcare Staffing LLC
• Caitlyn Adele Cook, RDH
• Gail Jean Cook, APRN
• Megan Cooke
• Cookeville Center for Pain Management PC
• Cookeville Chiropractic & Physical Therapy, P. C.
• Cookeville Chiropractic and Physical Therapy, P.C.
• Cookeville Discount Pharmacy
• Cookeville Eye Specialists, PLLC

• 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.