Healthcare Provider Details

I. General information

NPI: 1083096531
Provider Name (Legal Business Name): DAVID MERRILL ROONEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 24TH AVE N STE 600
NASHVILLE TN
37203-1503
US

IV. Provider business mailing address

335 24TH AVE N STE 600
NASHVILLE TN
37203-1503
US

V. Phone/Fax

Practice location:
  • Phone: 615-320-7200
  • Fax: 615-320-7203
Mailing address:
  • Phone: 615-320-7200
  • Fax: 615-320-7203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number327757
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number68549
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: