Provider Demographics
NPI:1447444229
Name:DANIEL R. HIGHTOWER, MD PC
Entity type:Organization
Organization Name:DANIEL R. HIGHTOWER, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-790-9401
Mailing Address - Street 1:218 20TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2327
Mailing Address - Country:US
Mailing Address - Phone:615-329-3232
Mailing Address - Fax:615-327-9915
Practice Address - Street 1:218 20TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2327
Practice Address - Country:US
Practice Address - Phone:615-329-3232
Practice Address - Fax:615-327-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1516949Medicaid
ALL292Medicare PIN
TN3370152Medicare PIN
TN1516949Medicaid