Organization Active NPI

Hermitage Medical Associates PLLC

  • Internal Medicine Physician
  • Franklin, TN
National Provider Identifier
1669640728
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31405 Issued in TN
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

Updated by the provider on Feb 12, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3855953MedicaidTN

Other names 1

  • Cool Springs Medical Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.