Active NPI
Thomas McColl Chesney, MD
- Anatomic Pathology Physician
- Germantown, TN
National Provider Identifier
1699709162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD0000006467
- Practice address
- 7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745 - Phone
- (901) 542-6801
- Fax
- (901) 542-6871
- NPI assigned
- Jul 10, 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD0000006467 | TN | Primary |
Addresses
Primary practice location
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Mailing address
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone (901) 542-6801
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3040759 | Medicaid | TN | |
| 0016381 | Medicaid | MS | |
| 3020582 | Medicaid | TN | |
| 000000004527 | Medicaid | TN | |
| 113590001 | Medicaid | AR | |
| 3020582 | Other | TN | BLUE CROSS BLUE SHIELD |
| 96808 | Other | AR | BLUE CROSS |
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 |
|---|---|---|---|
| MD0000006467 | TN | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumbull Laboratories, LLC | Current | Accepting new patients |
Locations
7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Germantown, TN
- NPI 1063449320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1699709162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 WOLF RIVER BLVD",
"address_2": "SUITE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381745",
"telephone_number": "901-542-6801",
"fax_number": "901-542-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 WOLF RIVER BLVD",
"address_2": "SUITE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381745",
"telephone_number": "901-542-6801",
"fax_number": "901-542-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESNEY",
"first_name": "THOMAS",
"middle_name": "MCCOLL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "MD0000006467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3040759",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016381",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3020582",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000004527",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113590001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3020582",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "96808",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.