Individual provider Active NPI

Jonathan D Gitlin, MD

  • Neonatal-Perinatal Medicine Physician
  • Nashville, TN
National Provider Identifier
1942227467
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD43490 Issued in TN
Practice address
2200 Childrens Way, Ste 2407
Vanderbilt Childrens Hospital
Nashville, TN 37232-9900
Phone
(615) 322-3377
Fax
(615) 936-3330
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD43490 TN Primary

Addresses

Primary practice location

2200 Childrens Way, Ste 2407
Vanderbilt Childrens Hospital
Nashville, TN 37232-9900

Mailing address

2200 Childrens Way, Ste 2407
Vanderbilt Childrens Hospital
Nashville, TN 37232-9900
Phone (615) 322-3377

Other identifiers 1

IdentifierTypeStateIssuer
3001540MedicaidTN

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

LicenseStateTypeSpecialty
MD43490TNMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1942227467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CHILDRENS WAY, STE 2407",
            "address_2": "VANDERBILT CHILDRENS HOSPITAL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329900",
            "telephone_number": "615-322-3377",
            "fax_number": "615-936-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CHILDRENS WAY, STE 2407",
            "address_2": "VANDERBILT CHILDRENS HOSPITAL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329900",
            "telephone_number": "615-322-3377",
            "fax_number": "615-936-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "MD43490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001540",
            "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 Mar 16, 2010; 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.