MEDICARE: PETER ANTHONY CHIN

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
1	207L00000X	Anesthesiology Physician	ME75219	FL
2	207LP3000X	Pediatric Anesthesiology Physician	M3992	TX
3	207LP3000X	Pediatric Anesthesiology Physician	42993	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1093747651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER ANTHONY CHIN

Provider Business Mailing Address
First Line	:	1211 21ST AVE S STE 701
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2700
Country	:	US
Telephone Number	:	615-936-1595
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY STE 3115
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-0023
Fax Number	:	615-936-4294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	10/15/2020

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Directions to “ PETER ANTHONY CHIN ” Practice Location

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