Active NPI
Thomas J Friddell, M.D.
- Family Medicine Physician
- Nashville, TN
National Provider Identifier
1740233378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4997
- Practice address
- 2817 Lebanon Pike
Nashville, TN 37214-2548 - Phone
- (615) 883-6545
- Fax
- (615) 889-7886
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4997 | TN | Primary |
Addresses
Primary practice location
2817 Lebanon Pike
Nashville, TN 37214-2548
Mailing address
2817 Lebanon Pike
Nashville, TN 37214-2548
Phone (615) 883-6545
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B01584 | Other | TN | HEALTHSPRING |
| 0009817 | Other | TN | BCBS |
| P2714869 | Other | TN | FIRST HEALTH |
| 319720 | Medicaid | TN | |
| 0009817 | Other | TN | TENNCARE |
| 4082123 | Other | TN | AETNA |
| 2565640 | Other | TN | CIGNA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4997 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Associates PC | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hermitage, TN
- NPI 1518993013
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1740233378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 LEBANON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142548",
"telephone_number": "615-883-6545",
"fax_number": "615-889-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 LEBANON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142548",
"telephone_number": "615-883-6545",
"fax_number": "615-889-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDDELL",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "4997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "B01584",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0009817",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "P2714869",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319720",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "0009817",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4082123",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2565640",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.