Robert E Paasche, MD
Individual provider Active NPI Emergency Medicine Physician · Cookeville, TN
NPI 1669413100 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1669413100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 40061 (TN)
- Practice address
- 1 Medical Center Blvd
Cookeville, TN 38501-4294 - Phone
- (931) 783-2334
- Fax
- (931) 783-2253
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fep of Kentucky LLC
Practice addresses (Care Compare)
320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446
Hospital & facility affiliations
- Jennie Stuart Medical Center
- Vanderbilt Clarksville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050628000768 | TN | Practitioner - Emergency Medicine | 5395640536 |
Reassigns benefits to 2 organizations Practice locations: Cookeville, TN |
| I20070904000650 | KY | Practitioner - Emergency Medicine | 5395640536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40061 | TN | MD | Emergency Medicine Physician |
| TP334 | KY | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fep of Kentucky LLC | Emergency Medicine | Current |
Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Immediate Health Associates | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Hopkinsville PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians P.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Services Network, PLLC. | Emergency Medicine | Past | Accepting new patients |
| Medical Observation Services LLC | Emergency Medicine | Past | Accepting new patients |
| Volunteer Medical Group, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 40061 | TN | Yes |
Addresses
Primary practice location
1 Medical Center Blvd
Cookeville, TN 38501-4294
Mailing address
1 Medical Center Blvd
PO Box 938
Cookeville, TN 38501-4294
Phone (931) 783-2334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3330920 | Medicaid | TN |
Other providers in Cookeville, TN
- Rebekah Osterman
- Olivia Owenby
- Mackenzie Danielle Owens
- Pepper Reaves Owens
- David M Owsley
- Sarah Pacuinas
- Mark Pafford
- Tonya Page
- Michael Anton Pahl
- Paige Gernt LLC
All providers in Cookeville, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.