Affiliated Internists PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD024626 Issued in TN

Legal business name

AFFILIATED INTERNISTS PC

Practice address

5653 Frist Blvd
Suite 236
Hermitage, TN 37076

Phone

(615) 871-0555

Fax

(615) 871-9398

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Travis Kirk Pardue, MD

Title

Medical Doctor Owner

Phone

(615) 871-0555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871699546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 236",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-871-0555",
            "fax_number": "615-871-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 236",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-871-0555",
            "fax_number": "615-871-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED INTERNISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARDUE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "615-871-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD024626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.