Individual provider Active NPI

Douglas J Pasto-Crosby, MD

  • Specialist
  • Nashville, TN
National Provider Identifier
1538110317
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18733 Issued in TN
Practice address
4220 Harding Rd
Nashville, TN 37205-2005
Phone
(615) 222-2111
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD18733 TN Primary

Addresses

Primary practice location

4220 Harding Rd
Nashville, TN 37205-2005

Mailing address

PO Box 3490
Clarksville, TN 37043-3490
Phone (931) 647-5034

Other identifiers 2

IdentifierTypeStateIssuer
3039738OtherBCBS PROVIDER
3033966MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000392 TN Practitioner - Emergency Medicine 7719019595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18788TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC CurrentSince Oct 1, 2018 Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Locations

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1538110317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3490",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433490",
            "telephone_number": "931-647-5034",
            "fax_number": "931-552-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTO-CROSBY",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD18733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "3039738",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3033966",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.