CRESTMOOR SURGICAL ASSOCIATES PLLC
NPI 1013266303
Specialist in Nashville, TN

Active since September 03, 2012
2103 CRESTMOOR RD, NASHVILLE, TN 37215(615) 921-2100(615) 921-2101 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crestmoor Surgical Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTMOOR SURGICAL ASSOCIATES PLLC (NPI 1013266303) is a healthcare organization registered as a specialist in Nashville, Tennessee and active in the NPI registry since September 2012. The organization lists James J Wendel, Owner, as its authorized official.

NPPES Registry Identity

NPI1013266303
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCRESTMOOR SURGICAL ASSOCIATES PLLC
Location Address2103 CRESTMOOR RDNashville, TN 37215-2614
Mailing Address2103 Crestmoor RdNashville, TN 37215-2614 · (615) 921-2100 · Fax (615) 921-2101
Fax(615) 921-2101
Organization SubpartNo
Authorized OfficialJames J WendelOwner · (615) 921-2100
Enumeration DateSeptember 3, 2012
Last NPPES UpdateAugust 5, 2013
NPI 1013266303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 36486
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2103 CRESTMOOR RD, Nashville, TN 37215

Other Identifiers 2

Medicare PIN103G703541TN
Medicaid1531362TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2103 CRESTMOOR RD
NASHVILLE, TN 37215
Nurse Practitioner (Family)
2103 CRESTMOOR RD
NASHVILLE, TN 37215
Plastic Surgery
2103 CRESTMOOR RD
NASHVILLE, TN 37215
Nurse Practitioner (Family)
2103 CRESTMOOR RD
NASHVILLE, TN 37215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013266303, enumerated as an "organization" on September 03, 2012.

The provider is located at 2103 CRESTMOOR RD NASHVILLE, TN 37215 and the phone number is (615) 921-2100.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.