HENGAMEH ARAB P.A., NPI 1043205362 — NASHVILLE (TN)

NPI 1043205362

14+ Years Experience Individual

HENGAMEH ARAB P.A.

09/13/2005
PROVIDER ENUMERATION DATE
08/17/2010
LAST UPDATE DATE
1043205362
NPI NUMBER

About HENGAMEH ARAB

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

HENGAMEH ARAB is a provider established in NASHVILLE, TN. The NPI number of HENGAMEH ARAB is 1043205362 and was assigned on 09/13/2005. The practitioners primary taxonomy code is: 363AM0700X with license number: PA1014 TN .

Mailing address

  • City: NASHVILLE
  • State: TN
  • Postal code: 372214212
  • Phone: 6159429810
  • Fax: 6159429827
  • Address: 8078 HIGHWAY 100

Primary Practice Address

  • Region : NASHVILLE, TN
  • NPI : 1043205362
  • Phone : 6159429810
  • Fax : 6159429827
  • Postalcode : 372214212
  • Address : 8078 HIGHWAY 100

Additional identifiers

  • Identifier: 4265869
  • Code / Type : 1 - other
  • Identifier state : TN
  • Identifier issuer: BCBS

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 1139135
  • Code / Type : 1 - other
  • Identifier state : TN
  • Identifier issuer : USA/MCO

Provider taxonomy - Physician Assistant

  • Taxonomy code: 363AM0700X
  • License number: PA1014
  • License state: TN

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • HENGAMEH ARAB P.A.
  • Address : 8078 HIGHWAY 100
  • Region : NASHVILLE, TN
  • NPI : 1043205362
  • Phone : 6159429810
  • Fax : 6159429827
  • Postalcode : 372214212

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address8078 HIGHWAY 100
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNASHVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code372214212
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6159429810
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6159429827
The fax number associated with the location address of the provider being identified.
NPI1043205362
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363AM0700X
Provider Enumeration Date09/13/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08/17/2010
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)HENGAMEH ARAB
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address8078 HIGHWAY 100
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNASHVILLE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code372214212
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6159429810
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6159429827
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1363AM0700X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physician Assistant
Provider License Number 1PA1014
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1TN
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 14265869
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1TN
Other Provider Identifier State #1
Other Provider Identifier Issuer 1BCBS
Other Provider Identifier Issuer #1
Other Provider Identifier 21139135
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2TN
Other Provider Identifier State #2
Other Provider Identifier Issuer 2USA/MCO
Other Provider Identifier Issuer #2
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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