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NPI Code Detail

MEDICARE: DR. DAVID GLASSFORD M.D.

MEDICARE: DR. DAVID GLASSFORD 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD010619TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01004450OTHERTNRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14323860OTHERTNBCBST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083616387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GLASSFORD M.D.
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5180
Country : US
Telephone Number : 615-284-7211
Fax Number : 615-284-7501
Provider Business Practice Location Address
First Line : 4230 HARDING PIKE
Second Line : STE 530
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-222-5500
Fax Number : 615-222-5601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 08/16/2019

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Directions to “ DR. DAVID GLASSFORD M.D.” Practice Location

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