Provider Demographics
NPI:1427066489
Name:ROWE, HEATHER D (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:D
Last Name:ROWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 WALLACE RD A400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-333-0330
Mailing Address - Fax:615-333-9912
Practice Address - Street 1:393 WALLACE RD A400
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-333-0330
Practice Address - Fax:615-333-9912
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1051296OtherCIGNA HMO
1051296OtherCIGNA PPO
TN3861092Medicaid
4080483OtherBLUE CROSS NETWORK K
1051296OtherCIGNA POS
4080483OtherBLUE CROSS NETWORK P
5031577OtherAETNA
G63925OtherHEALTHSPRING HMO
4080483OtherBLUE CROSS NETWORK C
G63925OtherHEALTHSPRING MEDICARE
1051296OtherCIGNA POS
G63925Medicare UPIN