Active NPI
Hermitage Medical Associates PLLC
- Internal Medicine Physician
- Franklin, TN
National Provider Identifier
1669640728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31405
- Legal business name
- HERMITAGE MEDICAL ASSOCIATES PLLC
- Practice address
- 740 Cool Springs Blvd.
Suite 120
Franklin, TN 37067-6449 - Phone
- (615) 550-6200
- Fax
- (615) 550-6099
- NPI assigned
- Feb 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph B Ozenne, M.D.
- Title
- Physician/Ceo
- Phone
- (615) 550-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31405 | TN | Primary |
Addresses
Primary practice location
740 Cool Springs Blvd.
Suite 120
Franklin, TN 37067-6449
Mailing address
740 Cool Springs Blvd.
Suite 120
Franklin, TN 37067-6449
Phone (615) 550-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3855953 | Medicaid | TN |
Other names 1
- Cool Springs Medical Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Franklin, TN
- NPI 1699734798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1669640728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 COOL SPRINGS BLVD.",
"address_2": "SUITE 120",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676449",
"telephone_number": "615-550-6200",
"fax_number": "615-550-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 COOL SPRINGS BLVD.",
"address_2": "SUITE 120",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676449",
"telephone_number": "615-550-6200",
"fax_number": "615-550-6099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERMITAGE MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "OZENNE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN/CEO",
"authorized_official_telephone_number": "615-550-6200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "31405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3855953",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cool Springs Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.