Active NPI
Michael Kaslow, MD
- Ophthalmology Physician
- Columbia, TN
National Provider Identifier
1649376625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 15281
- Practice address
- 1222 Trotwood Ave
Suite 302
Columbia, TN 38401-6436 - Phone
- (931) 388-5114
- Fax
- (931) 388-5631
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 15281 | TN | Primary |
Addresses
Primary practice location
1222 Trotwood Ave
Suite 302
Columbia, TN 38401-6436
Mailing address
1222 Trotwood Ave
Suite 302
Columbia, TN 38401-6436
Phone (931) 388-5114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113903 | Other | TN | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15281 | TN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649376625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE",
"address_2": "SUITE 302",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016436",
"telephone_number": "931-388-5114",
"fax_number": "931-388-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE",
"address_2": "SUITE 302",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016436",
"telephone_number": "931-388-5114",
"fax_number": "931-388-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASLOW",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "15281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "4113903",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.