Organization
HEALING PLACE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MCDERMOTT MEDICAL DOCTOR (OWNER)
(615) 851-8959
Entity
Organization
Contact information
Practice address
824 WREN RD, GOODLETTSVILLE, TN 37072-2312
(615) 851-8959
(615) 851-5949
Mailing address
824 WREN RD, GOODLETTSVILLE, TN 37072-2312
(615) 851-8959
(615) 851-5949
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01041710
AMERIGROUP
—
01
—
1285795278
GROUP NPI
—
01
—
1790899508
NPI RONALD MCDERMOTT M.D.
—
05
—
3094940
—
TN
05
—
3818316
—
TN
01
—
4147623
BCBS
TN
01
—
4147626
BCBS
—
01
—
4152576
BCBS
—
01
—
6271922
CIGNA
—
01
—
7078597
AETNA
—
01
—
7197644
AETNA
—
01
—
9842836002
CIGNA
—
01
—
G20365
HEALTHSPRINGS
—
01
—
G58444
HEALTHSPRINGS
—
01
—
TN0101
AMERICHOICE
—
01
—
TN0102
AMERICHOICE
—
01
—
TN01035857
AMERIGROUP
—
Enumeration date
12/13/2006
Last updated
07/21/2022
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