Individual
JACOB C DEXHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Mailing address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43525
TN
208M00000X
Hospitalist Physician
43525
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01287075
AMERIGROUP
TN
05
—
1513451
—
TN
01
—
4230166
BCBST
TN
01
—
7100072080
KY MEDICAID
KY
01
—
9173358
AETNA
—
01
—
P00730712
RAILROAD MEDICARE
TN
Enumeration date
01/04/2007
Last updated
03/31/2017
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