Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32048 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 32048 | TN |
NPI | 1861482259 |
---|---|
Provider Name | Dr. Roger N Passmore |
First Address | Goodlettsville, TN 37072-3132 |
Second Address | Hermitage, TN 37076-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 28/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3863282 | (05) | TN |
4013081 | BCBS (01) | TN |
4347485 | BCBS (01) | TN |
H32703 | (02) | |
Q000313 | (05) | TN |