Active NPI
Frederick Olatunji Junard, MD
- Internal Medicine Physician
- Nashville, TN
National Provider Identifier
1740288810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H35033
- Practice address
- 393 Wallace Road
Suite 201
Nashville, TN 37211 - Phone
- (615) 732-0228
- Fax
- (615) 732-0231
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H35033 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 31801 | TN |
Addresses
Primary practice location
393 Wallace Road
Suite 201
Nashville, TN 37211
Mailing address
PO Box 110284
Nashville, TN 37222
Phone (615) 732-0228
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100178830 | Other | SIGNATURE | |
| 3894234 | Other | CIGNA COMMERCIAL | |
| 621868887 | Other | CHOICE CARE NETWORK | |
| 621868887 | Other | FIRST HEALTH NETWORK | |
| 7740358 | Other | AETNA | |
| 3863238 | Other | CIGNA | |
| 3863238 | Medicaid | TN | |
| 4048057 | Other | BCBS | |
| 621868887 | Other | UHC | |
| 930127473 | Other | RAILROAD MEDICARE | |
| 35033 | Other | HEALTHSPRING | |
| 621868887 | Other | CAMPUS/TRICARE | |
| 621868887 | Other | PHCS NETWORK |
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 |
|---|---|---|---|
| 31801 | TN | MD | Internal Medicine Physician |
| H35033 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Emergency Coverage, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1740288810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110284",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37222",
"telephone_number": "615-732-0228",
"fax_number": "615-732-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 WALLACE ROAD",
"address_2": "SUITE 201",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37211",
"telephone_number": "615-732-0228",
"fax_number": "615-732-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNARD",
"first_name": "FREDERICK",
"middle_name": "OLATUNJI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-01-08",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "H35033",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "31801",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIGNATURE",
"identifier": "100178830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA COMMERCIAL",
"identifier": "3894234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE NETWORK",
"identifier": "621868887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "621868887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7740358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3863238",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863238",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4048057",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "621868887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930127473",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "35033",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMPUS/TRICARE",
"identifier": "621868887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS NETWORK",
"identifier": "621868887",
"state": null
}
],
"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 Jan 8, 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.