Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 19114 | TN |
N | 207RI0011X | Interventional Cardiology | 19114 | TN |
NPI | 1003819277 |
---|---|
Provider Name | John Bright Cage |
First Address | Nashville, TN 37228-1317 |
Second Address | Nashville, TN 37203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 09/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1506141 | (05) | TN |
3054802 | (05) | TN |
4182254 | BCBS (01) | TN |
F43651 | (02) | TN |
P01376941 | RR MEDICARE (01) | TN |