Organization Active NPI

Pulmonary Medicine of Dickson, LLC

  • Pulmonary Disease Physician
  • Dickson, TN
National Provider Identifier
1972608537
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3725580MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.