Individual
DR. IRA A SHIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 24TH AVE N STE 600, NASHVILLE, TN 37203-1503
(615) 320-7200
(615) 320-7203
Mailing address
335 24TH AVE N STE 600, NASHVILLE, TN 37203-1503
(615) 320-7200
(615) 320-7203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15763
TN
207W00000X
Ophthalmology Physician
Primary
MD15763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001364
NHC HEALTH BENEFIT PLAN
TN
01
—
0627781
CIGNA
TN
01
—
0840173
UNITED HEALTHCARE
TN
01
—
180036789
RAIL ROAD MEDICARE
TN
01
—
2150030
AETNA
TN
01
—
3126360
TENNCARE SELECT
TN
05
—
3717165
—
TN
01
—
621745543
HUMANA
TN
01
—
621745543000
PRUDENTIAL
TN
01
—
B58858
HEALTHSPRING
TN
Enumeration date
06/24/2005
Last updated
12/19/2024
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