TN Skin Sub LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TN SKIN SUB LLC

Practice address

118 16TH Ave S Ste 4-277
Nashville, TN 37203-3100

Phone

(480) 389-6863

Fax

(888) 819-9648

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Jarvis Tzeng, DONPI 1811137722

Title

President

Phone

(480) 389-6863

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarvis Arthur Tzeng, D.O.

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1811137722
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1578274247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 16TH AVE S STE 4-277",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033100",
            "telephone_number": "480-389-6863",
            "fax_number": "888-819-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 16TH AVE S STE 4-277",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033100",
            "telephone_number": "480-389-6863",
            "fax_number": "888-819-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN SKIN SUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "TZENG",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-389-6863",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811137722",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TN Doctors of Optometry, PLLC
• TN MC Sprout 1 LLC
• TN Med Trans
• TN Ortho Spine, PLLC
• TN Perfect Walk-in Clinic, PLLC
• TN Southern Dental PC
• TN Southern Dental PPO
• TN Southern Dental PPO
• TN Wound Physician LLC
• TN-I Medical Services PC

• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.