Individual
ISAAC P THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40964
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
40964
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009701218
ARTNA
—
05
—
1506244
—
TN
01
—
4192004
BCBST
TN
01
—
7100050690
KENTUCKY MEDICAID
KY
01
—
P00731763
RAILROAD MEDICARE
TN
Enumeration date
01/04/2007
Last updated
03/14/2022
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