Jonathan Robert Oppenheimer, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD0000030417 Issued in TN

Practice address

1450 Elm Hill Pike
Nashville, TN 37210-4531

Phone

(615) 874-0410

Fax

(615) 232-8009

NPI assigned

Jun 2, 2008

Last updated

Sep 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mod Lab

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1194968131
  Authorized official Same address or phone
• Prost Data Inc

  dba OUR Lab

  • Clinical Medical Laboratory
  • Brooklyn, NY
  • NPI 1114245974
  Authorized official Same address or phone
• Prost Data Inc

  dba OUR Lab

  • Clinical Medical Laboratory
  • Bellerose, NY
  • NPI 1245472380
  Authorized official Same address or phone
• Urology Associates PC

  • Urology Physician
  • Nashville, TN
  • NPI 1043297542
  NPD
• Prost Data Inc

  dba OUR Lab

  • Clinical Medical Laboratory
  • Burlingame, CA
  • NPI 1881983336
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1487813887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291209",
            "telephone_number": "615-874-0410",
            "fax_number": "615-232-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104531",
            "telephone_number": "615-874-0410",
            "fax_number": "615-232-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000030417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Door Counseling PLLC
• Open Heart Kare, LLC
• Operation Ergo PLLC
• Ophthalmology Management Group, LLC
• Opko Lab, LLC
• Anna Oprisch, APRN
• Opry Medical Group LLC
• McKayla Joy Opstrup
• Optimal Care LLC
• Option Care Infusion Services, LLC (Vanderbilt HC/Option Care IV Services)

• Anatomic Pathology & Clinical Pathology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.