Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 40964 | TN |
N | 111NI0900X | Internist | 40964 | TN |
Y | 2080P0208X | Pediatric Infectious Diseases | 40964 | TN |
NPI | 1225185101 |
---|---|
Provider Name | Isaac P Thomsen |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009701218 | ARTNA (01) | |
1506244 | (05) | TN |
4192004 | BCBST (01) | TN |
7100050690 | KENTUCKY MEDICAID (01) | KY |
P00731763 | RAILROAD MEDICARE (01) | TN |