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Contact Information

JAMES J MACCARONE, DO
751 CHESAPEAKE LN
SUITE 101
CLARKSVILLE, TN37040-5263
 Phone: 931-648-0202
 Fax: 931-648-0252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X
Indicates primary specialty

NPI Profile & details for JAMES J MACCARONE · (Male)

NPI Number 1861590002
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/20/2006
Last updated 06/19/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
TN License # 00000260
TN License # DO1235
TN Medicaid 3305160
TN Medicare PIN 1780709451
TN Medicare UPIN G61607
TN Other 179292 ANTHEM BC/BS
TN Other 3144330 BLUE CROSS/BLUE SHIELD
TN Other 110204333 RAILROAD MEDICARE
Hospital affiliation(s)
  • GATEWAY MEDICAL CENTER - (Acute Care)
    651 DUNLOP LANE
    CLARKSVILLE, TN 37040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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