OLD HICKORY EMERGENCY PHYSICIANS – NPI #1679771240
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

OLD HICKORY EMERGENCY PHYSICIANS is a provider located in MADISON, TN. NPPES has assigned the NPI number 1679771240 to OLD HICKORY EMERGENCY PHYSICIANS on July 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLD HICKORY EMERGENCY PHYSICIANS below.

NPI Profile for
OLD HICKORY EMERGENCY PHYSICIANS

NPI Number
1679771240
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLD HICKORY EMERGENCY PHYSICIANS
Primary location
500 HOSPITAL DR
MADISON, TN 37115-5031
Phone: (615) 865-0300 Fax: (615) 312-8317
Mailing address
PO BOX 13858
PHILADELPHIA, PA 19101-3858
Phone: (800) 355-0808 Fax: (215) 834-2862
Organization Subpart
No
Authorized Official
JENNIFER PROVASNIK
SUPERVISOR OF PROVIDER ENROLLMENT
Phone: (800) 355-0808
Updated
Identifiers

Identifiers for OLD HICKORY EMERGENCY PHYSICIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3726452
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.