Basic Information
| Provider Information | |||||||||
| NPI: | 1841230604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LANCASTER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | M..D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 WOODMONT BLVD | ||||||||
| Address2: | SUITE LL50 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153862300 | ||||||||
| FaxNumber: | 6153862399 | ||||||||
| Practice Location | |||||||||
| Address1: | 4230 HARDING RD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152972700 | ||||||||
| FaxNumber: | 6152694584 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 02/02/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 27746 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1100318389 | 01 | TN | USA PPO-GEHA | OTHER | 1734883 | 01 | TN | UNITED HEALTH CARE | OTHER | 5807507 | 01 | TN | AETNA | OTHER | 01037977 | 01 | TN | AMERIGROUP-TNCARE ONLY | OTHER | 633859 | 01 | TN | USA MANAGED CARE | OTHER | 3164322 | 01 | TN | BLUE CROSS OF TN | OTHER | 1347501 | 01 | TN | COVENTRY | OTHER | 1508416 | 05 | TN | MEDICAID | 5957186 | 01 | TN | CIGNA | OTHER | P110218076 | 01 | TN | MEDICARE RR | OTHER | 12224760 | 01 | TN | MULTIPLAN/PHCS | OTHER | 64927338 | 05 | KY | MEDICAID |