Basic Information
Provider Information | |||||||||
NPI: | 1265602999 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | SMOLENSKY | ||||||||
FirstName: | ARTHUR | ||||||||
MiddleName: | R | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | ONE VANTAGE WAY, SUITE B240 | ||||||||
Address2: | MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC | ||||||||
City: | NASHVILLE | ||||||||
State: | TN | ||||||||
PostalCode: | 372281562 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6153294020 | ||||||||
FaxNumber: | 6153275475 | ||||||||
Practice Location | |||||||||
Address1: | 1700 MEDICAL CENTER PARKWAY | ||||||||
Address2: | ST THOMAS RUTHERFORD HOPSITAL | ||||||||
City: | MURFREESBORO | ||||||||
State: | TN | ||||||||
PostalCode: | 37129 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6153294020 | ||||||||
FaxNumber: | 6153275475 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/10/2008 | ||||||||
LastUpdateDate: | 06/04/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 80913 | AZ | N |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   | 207P00000X | 52714 | TN | Y |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   |
No ID Information.