MEDICARE: AARTHUR ROGERS NP

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	363L00000X	Nurse Practitioner	R660531	MS
2	363LF0000X	Family Nurse Practitioner	21666	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C02394	OTHER	MS	MEDICARE GROUP

General Provider Information

NPI Number	:	1568478659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARTHUR ROGERS NP

Provider Business Mailing Address
First Line	:	2620 ELM HILL PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3108
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:	615-891-5244

Provider Business Practice Location Address
First Line	:	3685 HOUSTON LEVEE ROAD
Second Line	:	100
City	:	NASHVILLE
State	:	TN
Zip	:	37214
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:	615-891-5244

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	12/21/2020

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