Active NPI
Pulmonary Medicine of Dickson, LLC
- Pulmonary Disease Physician
- Dickson, TN
National Provider Identifier
1972608537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY MEDICINE OF DICKSON, LLC
- Practice address
- 111 Highway 70 E
3Rd Floor Suite a
Dickson, TN 37055-2080 - Phone
- (615) 446-1260
- Fax
- (615) 446-1265
- NPI assigned
- Sep 14, 2006
- Organization subpart
- Yes
- Parent organization
- MEDICAL GROUP - DICKSON, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chuck Locke
- Title
- Vice President
- Phone
- (615) 446-1260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
111 Highway 70 E
3Rd Floor Suite a
Dickson, TN 37055-2080
Mailing address
111 Highway 70 E
3Rd Floor Suite a
Dickson, TN 37055-2080
Phone (615) 446-1260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3725580 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
111 Highway 70 E
Fl 3
Dickson, TN 37055
Phone (615) 446-1260
111 Highway 70 E
Ste A
Dickson, TN 37055
Phone (615) 446-1260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Dickson, TN
- NPI 1063407534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1972608537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HIGHWAY 70 E",
"address_2": "3RD FLOOR SUITE A",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552080",
"telephone_number": "615-446-1260",
"fax_number": "615-446-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HIGHWAY 70 E",
"address_2": "3RD FLOOR SUITE A",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552080",
"telephone_number": "615-446-1260",
"fax_number": "615-446-1265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY MEDICINE OF DICKSON, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL GROUP - DICKSON, INC.",
"enumeration_date": "2006-09-14",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-446-1260"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3725580",
"state": "TN"
}
],
"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 Aug 28, 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.