MICHAEL PETRACEK M.D., NPI 1972505105
Thoracic Surgery (Cardiothoracic Vascular Surgery) in NASHVILLE, TN
Last Updated on : May 04,2012
About MICHAEL PETRACEK (NPI 1972505105)
MICHAEL PETRACEK is a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider in NASHVILLE, United States. His medical specialization is Thoracic Surgery (Cardiothoracic Vascular Surgery) .
1972505105 is NPI number of MICHAEL PETRACEK.
MICHAEL PETRACEK's primary taxonomy code based on NPI Lookup is 208G00000X with license number MD013206. This taxonomy code refers to Thoracic Surgery (Cardiothoracic Vascular Surgery).
MICHAEL PETRACEK has more than 17 years of experience.
MICHAEL PETRACEK current practice location address is 4230 HARDING RD, NASHVILLE, TN. MICHAEL PETRACEK can be reached out via phone at 615-385-4781 and via fax at 615-383-4366 .
You can also correspond with MICHAEL PETRACEK through mail at mailing address 4230 HARDING RD, NASHVILLE, TN, United States. Mailing address contact number is 615-385-4781.
The enumeration date of MICHAEL PETRACEK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.1972505105 NPI Information
Basic NPI information of MICHAEL PETRACEK (NPI 1972505105) is provided below.
| Name | MICHAEL PETRACEK |
|---|---|
| National Provider Id (NPI) | 1972505105 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 4230 HARDING RD,
STE 450
NASHVILLE, TN, United States |
| Practice Telephone | 615-385-4781 |
| Practice Fax Number | 615-383-4366 |
| Mailing Address | 4230 HARDING RD ,
STE 450
NASHVILLE, TN, United States |
| Mailing Telephone | 615-385-4781 |
| Mailing Fax Number | 615-383-4366 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 04-May-2012 |
MICHAEL PETRACEK (NPI 1972505105) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD013206 | TN |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Additional Identifiers
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.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0995598 | Other (non-Medicare) (01) | TN | AETNA HMO |
| 2000298 | Other (non-Medicare) (01) | TN | BCBS OF TENNESSEE |
| 3009775 | MEDICAID (05) | TN | |
| 3740031 | Other (non-Medicare) (01) | TN | UNITED HEALTHCARE |
| 3945508007 | Other (non-Medicare) (01) | TN | CIGNA PPO |
| 3945508008 | Other (non-Medicare) (01) | TN | CIGNA HMO |
| 4066885 | Other (non-Medicare) (01) | TN | AETNA PPO |
MICHAEL PETRACEK (NPI 1972505105) Office Location
Office location of MICHAEL PETRACEK is provided in the Google maps below.Providers in same location
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How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1972505105?1972505105 is the NPI number of MICHAEL PETRACEK.
What is the specialty for MICHAEL PETRACEK?The Specialty of MICHAEL PETRACEK is Thoracic Surgery (Cardiothoracic Vascular Surgery).
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | 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 Number | 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''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | 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 | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | 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 | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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