Provider Demographics
| NPI: | 1225125339 |
|---|---|
| Name: | ARNOLD, DONALD (MD, MPH) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | DONALD |
| Middle Name: | |
| Last Name: | ARNOLD |
| Suffix: | |
| Gender: | M |
| Credentials: | MD, MPH |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 3841 GREEN HILLS VILLAGE DR STE 200 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NASHVILLE |
| Mailing Address - State: | TN |
| Mailing Address - Zip Code: | 37215-2691 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 615-322-3000 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | VCH 2200 CHILDRENS WAY |
| Practice Address - Street 2: | VANDERBILT UNIVERSITY MEDICAL CENTER |
| Practice Address - City: | NASHVILLE |
| Practice Address - State: | TN |
| Practice Address - Zip Code: | 37232-0001 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 615-322-3000 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-10-09 |
| Last Update Date: | 2022-03-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TN | MD36115 | 207LP3000X, 207PP0204X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207PP0204X | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine |
| No | 207LP3000X | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| D50636 | Medicare UPIN |