Medtrack, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

100002 Issued in TN

Legal business name

MEDTRACK, LLC

Practice address

28 White Bridge Rd Ste 108
Nashville, TN 37205-1466

Phone

(615) 352-1212

Fax

(615) 352-1215

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

John Abner Savage Jr., CRNA

Title

Owner

Phone

(615) 352-1212

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1942480611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370700610",
            "telephone_number": "615-352-1212",
            "fax_number": "615-352-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE RD STE 108",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051466",
            "telephone_number": "615-352-1212",
            "fax_number": "615-352-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ABNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-352-1212",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TN",
            "license": "100002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA CERTIFICATION NUMBER",
            "identifier": "027765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meditrina Consulting LLC
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• Theresa Rochelle Medley
• Geremy D. Medlock, DMD
• Medlogic Billing LLC
• Andrew James Medvecz, M.D., M.P.H.
• Gleb Medvedev, M.D.
• Lauren Medwed, D.M.D.
• Medx, LLC
• Madison Meek

• Pain Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Pain Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.