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 |