Individual provider Active NPI

Lawrence A Klinsky, M.D.

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1649261447
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD027049 Issued in TN
Practice address
2325 Crestmoor Rd Ste 101
Nashville, TN 37215-2027
Phone
(629) 255-2215
Fax
(629) 255-4079
NPI assigned
Oct 31, 2005
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD027049 TN Primary

Addresses

Primary practice location

2325 Crestmoor Rd Ste 101
Nashville, TN 37215-2027

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
3883349MedicaidTN

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
I20091229000047 TN Practitioner - Pediatric Medicine 6608916507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027049TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC Pediatrics CurrentSince Nov 2, 2009 Accepting new patients
Heritage Medical Associates PC CurrentSince Nov 2, 2009 Accepting new patients

Locations

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

2325 Crestmoor Rd
Ste 101
Nashville, TN 37215
Phone (629) 255-2216

Interoperability endpoints

  • Direct secure messaging: lawrenceklinsky@hma.allscriptsdirect.net
  • Direct secure messaging: lklinsky159673@direct.vumc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1649261447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CRESTMOOR RD STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152027",
            "telephone_number": "629-255-2215",
            "fax_number": "629-255-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINSKY",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD027049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3883349",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.