1770646168 NPI number — DAVID JOHN SWITTER MD

Table of content: DAVID JOHN SWITTER MD (NPI 1770646168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770646168 NPI number — DAVID JOHN SWITTER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWITTER
Provider First Name:
DAVID
Provider Middle Name:
JOHN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770646168
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2010 CHURCH STREET
Provider Second Line Business Mailing Address:
SUITE 615
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-284-7949
Provider Business Mailing Address Fax Number:
615-284-5750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 CHURCH STREET
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-284-5229
Provider Business Practice Location Address Fax Number:
615-284-4373
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  9712 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3030968 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3041685 . This is a "NON HOSP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3041686 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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