Individual
DR. ROGER N PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5651 FRIST BLVD, SUITE 200, HERMITAGE, TN 37076-2054
(615) 885-0200
(615) 885-0267
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 855-6033
(615) 296-9939
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32048
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
32048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3863282
—
TN
01
—
4013081
BCBS
TN
01
—
4347485
BCBS
TN
05
—
Q000313
—
TN
Enumeration date
10/26/2005
Last updated
03/28/2014
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