Organization Active NPI

Jeffrey J Gleason MD PLLC

  • Obstetrics & Gynecology Physician
  • Cookeville, TN
National Provider Identifier
1407953789
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JEFFREY J GLEASON MD PLLC
Practice address
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone
(931) 528-7527
Fax
(931) 372-8839
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Jeffrey J Gleason, MD
Title
Member
Phone
(931) 528-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

317 N Hickory Ave
Cookeville, TN 38501-2428

Mailing address

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

Other identifiers 1

IdentifierTypeStateIssuer
3096602MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1407953789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J GLEASON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-528-7527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.