Individual provider Active NPI

Stephen Russ Clendenin, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
National Provider Identifier
1982994711
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
53059 Issued in TN
Practice address
B-1100 Medical Ctr N
Nashville, TN 37232-0001
Phone
(615) 322-2308
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 53059 TN Primary

Addresses

Primary practice location

B-1100 Medical Ctr N
Nashville, TN 37232-0001

Mailing address

2146 Belcourt Ave
VMG Business Office
Nashville, TN 37212-3504

Other practice location 1

2000 Church St
Nashville, TN 37236-0001
Phone (615) 284-4672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014000238 TN Practitioner - Obstetrics/Gynecology 3577872571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

2000 Church St
Nashville, TN 37236-4400
Phone (615) 284-4672

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53059TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Sep 24, 2019 Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Locations

315 Cool Springs Blvd
Ste 100
Franklin, TN 37067
Phone (615) 284-3060

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2011 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 301-1000

300 20th Ave N
Ste G3
Nashville, TN 37203
Phone (615) 284-2500

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: stephen.clendenin.1@7654.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1982994711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 BELCOURT AVE",
            "address_2": "VMG BUSINESS OFFICE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B-1100 MEDICAL CTR N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Church St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372360001",
            "country_code": "US",
            "telephone_number": "615-284-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLENDENIN",
        "first_name": "STEPHEN",
        "middle_name": "RUSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "53059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.