Active NPI
Integrative Health Community
- Neurological Surgery Physician
- Goodlettsville, TN
National Provider Identifier
1558552620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD9149
- Legal business name
- INTEGRATIVE HEALTH COMMUNITY
- Practice address
- 400 Professional Park Dr.
Suite 201
Goodlettsville, TN 37072 - Phone
- (615) 859-9840
- Fax
- (615) 859-9841
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur R Cushman, M.D.
- Title
- Owner/M.D.
- Phone
- (615) 859-9840
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9149 | TN | |
| Neurological Surgery Physician | 207T00000X | MD9149 | TN | Primary |
Addresses
Primary practice location
400 Professional Park Dr.
Suite 201
Goodlettsville, TN 37072
Mailing address
400 Professional Park Dr.
Suite 201
Goodlettsville, TN 37072
Phone (615) 859-9840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300022493 | Medicaid | TN | |
| 3726727 | Other | TN | MEDICARE GROUP |
Other names 1
- Tennessee Neurosurgery, P.C.
National Provider Directory
National Provider DirectoryLocations
400 Professional Park Dr
Ste 201
Goodlettsville, TN 37072
Phone (615) 859-9840
439 N Main St
Goodlettsvlle, TN 37072
Phone (615) 428-2163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1558552620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PROFESSIONAL PARK DR.",
"address_2": "SUITE 201",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "37072",
"telephone_number": "615-859-9840",
"fax_number": "615-859-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PROFESSIONAL PARK DR.",
"address_2": "SUITE 201",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "37072",
"telephone_number": "615-859-9840",
"fax_number": "615-859-9841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH COMMUNITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "CUSHMAN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/M.D.",
"authorized_official_telephone_number": "615-859-9840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "9149",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "TN",
"license": "MD9149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300022493",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3726727",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennessee Neurosurgery, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.