Basic Information
Provider Information | |||||||||
NPI: | 1366642415 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | OZDEGIRMENCI | ||||||||
FirstName: | HASAN | ||||||||
MiddleName: | BERKAY | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 501 GREAT CIRCLE RD | ||||||||
Address2: | SUITE 200 | ||||||||
City: | NASHVILLE | ||||||||
State: | TN | ||||||||
PostalCode: | 372281317 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6153964694 | ||||||||
FaxNumber: | 6153966751 | ||||||||
Practice Location | |||||||||
Address1: | 1700 MEDICAL CENTER PKWY | ||||||||
Address2: |   | ||||||||
City: | MURFREESBORO | ||||||||
State: | TN | ||||||||
PostalCode: | 371292245 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6153964694 | ||||||||
FaxNumber: | 6153966751 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/18/2007 | ||||||||
LastUpdateDate: | 09/02/2016 | ||||||||
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 | 207R00000X | N0335 | TX | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207R00000X | 54842 | TN | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | 54842 | TN | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 208M00000X | N0335 | TX | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.