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NPI Code Detail

MEDICARE: DR. STEPHEN JOHN SCHULTENOVER M.D.

MEDICARE: DR. STEPHEN JOHN SCHULTENOVER 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
1207ZC0500XCytopathology PhysicianMD15461TN
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician20902MN
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG1188TX
4207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD15461TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2942394438OTHERFEDERAL TAX I.D.
363393932OTHERTNDRIVER'S LICENSE

General Provider Information

NPI Number : 1053343251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN JOHN SCHULTENOVER M.D.
Provider Business Mailing Address
First Line : 719 THOMPSON LN STE 30330
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-2637
Country : US
Telephone Number : 615-936-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/07/2023

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