Organization Active NPI

Integrative Health Community

  • Neurological Surgery Physician
  • Goodlettsville, TN
National Provider Identifier
1558552620
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD9149 Issued in TN
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

Updated by the provider on Jan 11, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 9149 TN
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
300022493MedicaidTN
3726727OtherTNMEDICARE GROUP

Other names 1

  • Tennessee Neurosurgery, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.