Active NPI
David A Jarvis, MD
- Pulmonary Disease Physician
- Nashville, TN
National Provider Identifier
1457346132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD9110
- Practice address
- 330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534 - Phone
- (615) 342-5900
- Fax
- (615) 342-6079
- NPI assigned
- Sep 19, 2005
- Last updated
- Jun 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD9110 | TN | Primary |
| Internal Medicine Physician | 207R00000X | MD9110 | TN |
Addresses
Primary practice location
330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534
Mailing address
330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534
Phone (615) 342-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3176553 | Medicaid | TN | |
| 110172665 | Other | TN | RAILROAD MEDICARE |
| 64746795 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD9110 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Function Lab | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- david.jarvis@hca1.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1457346132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 23RD AVE N",
"address_2": "SUITE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031534",
"telephone_number": "615-342-5900",
"fax_number": "615-342-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 23RD AVE N",
"address_2": "SUITE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031534",
"telephone_number": "615-342-5900",
"fax_number": "615-342-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "MD9110",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD9110",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3176553",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110172665",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64746795",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.