Organization Active NPI

Tracut LLC

  • Clinic/Center
  • Dickson, TN
National Provider Identifier
1962753681
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRACUT LLC
Practice address
127 Crestview Park Dr
207
Dickson, TN 37055-2855
Phone
(615) 327-2055
NPI assigned
Sep 20, 2012
Organization subpart
Yes
Parent organization
CENTER FOR UROLOGICAL TREATMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Mitchell Wiatrak, M.D.
Title
Cheif Manager
Phone
(615) 327-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

127 Crestview Park Dr
207
Dickson, TN 37055-2855

Mailing address

345 23Rd Ave N
212
Nashville, TN 37203-1513
Phone (615) 327-2055

National Provider Directory

National Provider Directory
Tax ID family
Tracut LLC2 organizations share this tax ID, including this one
Part of
Center for Urological T

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1962753681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "212",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-327-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "address_2": "207",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552855",
            "telephone_number": "615-327-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACUT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR UROLOGICAL TREATMENT",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "WIATRAK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CHEIF MANAGER",
        "authorized_official_telephone_number": "615-327-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.