Ronald B Addlestone, MD
Individual provider Active NPI Radiological Physics Physician · Nashville, TN
NPI 1790769412 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1790769412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiological Physics Physician 2085R0205X
- License
- 8568 (TN)
- Practice address
- 4220 Harding Rd
St Thomas Hospital
Nashville, TN 37205-2005 - Phone
- (615) 222-6095
- Fax
- (615) 222-6321
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology,PLLC | Past | Accepting new patients | |
| Tennessee Oncology, PLLC | Past | Accepting new patients | |
| The Surgical Clinic PLLC | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIJFBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | 8568 | TN | Yes |
Addresses
Primary practice location
4220 Harding Rd
St Thomas Hospital
Nashville, TN 37205-2005
Mailing address
210 25TH Ave N
Suite 602
Nashville, TN 37203-1606
Phone (615) 312-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034819 | Medicaid | TN | |
| 3721492 | Medicaid | TN | |
| 3037819 | Medicaid | TN | |
| 3718587 | Medicaid | TN |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.