Mid Cumberland Infectious Disease Consultants PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35724 Issued in TN

Legal business name

MID CUMBERLAND INFECTIOUS DISEASE CONSULTANTS PLC

Practice address

298 Clear Sky CT
Suite D
Clarksville, TN 37043-5685

Phone

(931) 551-9950

Fax

(931) 551-9054

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Simi Vincent, MD

Title

Owner

Phone

(931) 551-9950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1679641740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT",
            "address_2": "SUITE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-551-9950",
            "fax_number": "931-551-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT",
            "address_2": "SUITE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-551-9950",
            "fax_number": "931-551-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CUMBERLAND INFECTIOUS DISEASE CONSULTANTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "SIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-551-9950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "35724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.