Clarksville Internal Medicine and Wellness PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLARKSVILLE INTERNAL MEDICINE AND WELLNESS PLLC

Practice address

1820 Haynes St
Clarksville, TN 37043-4547

Phone

(931) 245-1500

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christoper Franklin Standley, DO

Title

DO/Owner

Phone

(931) 245-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1548824626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-245-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-245-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE INTERNAL MEDICINE AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "STANDLEY",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "931-245-1500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clarksville Imaging Center LLC (Clarksville Imaging Center)
• Clarksville Internal Medicine, PLC
• Clarksville Limb & Brace & Rehab., Inc.
• Clarksville Medical Solutions
• Clarksville Midwifery, LLC
• Clarksville Modern Dentistry,PC (Clarksville Modern Dentistry)

• Family Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.