CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC – NPI #1790274850
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC is a provider located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1790274850 to CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC on May 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 7 years ago on Dec 12, 2018. 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 CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC below.

NPI Profile for
CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC

NPI Number
1790274850
Enumeration Date

(more than 8 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
CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC
Primary location
651 DUNLOP LN
CLARKSVILLE, TN 37040-5015
Phone: (931) 502-1000 Fax: (386) 274-7801
Mailing address
PO BOX 11531
DAYTONA BEACH, FL 32120-1531
Phone: (386) 274-7800 Fax: (386) 274-7801
Organization Subpart
No
Authorized Official
STEVEN MARON
PRESIDENT
Phone: (925) 482-8233
Updated
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
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

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.