Healthcare Provider Details

I. General information

NPI: 1184650145
Provider Name (Legal Business Name): STEVEN M HEGEDUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CHURCH ST IP-HOSPITALIST
NASHVILLE TN
37236-4400
US

IV. Provider business mailing address

501 GREAT CIRCLE RD SUITE 200
NASHVILLE TN
37228-1317
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-4672
  • Fax: 615-284-5752
Mailing address:
  • Phone: 615-284-4672
  • Fax: 615-284-5752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41218
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: