Organization Active NPI

Hendersonville Surgeons

  • Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1982930053
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HENDERSONVILLE SURGEONS
Practice address
353 New Shackle Island Rd
Suite 102a
Hendersonville, TN 37075-2379
Phone
(615) 824-9653
Fax
(615) 824-9663
NPI assigned
Oct 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Peter K. Smith, M.D.
Title
Partner
Phone
(615) 824-9653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

353 New Shackle Island Rd
Suite 102a
Hendersonville, TN 37075-2379

Mailing address

353 New Shackle Island Rd
Suite 102a
Hendersonville, TN 37075-2379
Phone (615) 824-9653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1982930053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 102A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 102A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-824-9653",
            "fax_number": "615-824-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-824-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.