Organization Active NPI

Richard E. Fishbein, MD

  • Orthopaedic Surgery Physician
  • Lebanon, TN
National Provider Identifier
1407042005
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD013323 Issued in TN
Legal business name
RICHARD E. FISHBEIN, MD
Practice address
1432 W Main St
Suite 300
Lebanon, TN 37087-1323
Phone
(615) 453-4074
Fax
(615) 453-4072
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Richard E Fishbein, M.D.
Title
Owner
Phone
(615) 453-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD013323 TN Primary

Addresses

Primary practice location

1432 W Main St
Suite 300
Lebanon, TN 37087-1323

Mailing address

PO Box 1200
Lebanon, TN 37088-1200
Phone (615) 453-4074

Other identifiers 1

IdentifierTypeStateIssuer
0018672MedicaidTN

National Provider Directory

National Provider Directory

Locations

1432 W Main St
Ste 300
Lebanon, TN 37087
Phone (615) 453-4074

1801 N Washington St
Ste 200
Tullahoma, TN 37388
Phone (931) 455-5126

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1407042005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370881200",
            "telephone_number": "615-453-4074",
            "fax_number": "615-453-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871323",
            "telephone_number": "615-453-4074",
            "fax_number": "615-453-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. FISHBEIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-453-4074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD013323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018672",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.