Organization Active NPI

Antioch Medical Associates P C

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1487832614
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20566 Issued in TN
Legal business name
ANTIOCH MEDICAL ASSOCIATES P C
Practice address
393 Wallace Rd
Suite A302
Nashville, TN 37211-4880
Phone
(615) 781-0200
Fax
(615) 331-0366
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Gertrude O Stone, M DNPI 1740262104
Title
Owner
Phone
(615) 781-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20566 TN Primary

Addresses

Primary practice location

393 Wallace Rd
Suite A302
Nashville, TN 37211-4880

Mailing address

393 Wallace Rd
Suite A302
Nashville, TN 37211-4880
Phone (615) 781-0200

National Provider Directory

National Provider Directory

Locations

393 Wallace Rd
Ste 302A
Nashville, TN 37211
Phone (615) 781-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1487832614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "SUITE A302",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-781-0200",
            "fax_number": "615-331-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "SUITE A302",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-781-0200",
            "fax_number": "615-331-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIOCH MEDICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-781-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "20566",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 11, 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.