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NPI Code Detail

MEDICARE: MATTHEW TIERNAN SPEYER M.D.

MEDICARE:   MATTHEW TIERNAN SPEYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician30582TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24357717OTHERTNBLUECROSS BLUESHIELD TN

General Provider Information

NPI Number : 1417930512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW TIERNAN SPEYER M.D.
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number : 615-851-2018
Provider Business Practice Location Address
First Line : 4230 HARDING PIKE STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-4900
Country : US
Telephone Number : 615-297-2700
Fax Number : 615-386-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 01/21/2026

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Directions to “ MATTHEW TIERNAN SPEYER M.D.” Practice Location

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