Basic Information
| Provider Information | |||||||||
| NPI: | 1689623167 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALVAREZ | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3841 GREEN HILLS VILLAGE DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372152691 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153223000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3601 THE VANDERBILT CLINIC | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372320001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153223000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 03/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | 11426 | AL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology | 207VX0201X | MD54634 | TN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
ID Information
| ID | Type | State | Issuer | Description | 009969445 | 05 | AL | MEDICAID | 009912404 | 05 | AL | MEDICAID | 130530 | 05 | AL | MEDICAID | 1594806 | 01 | AL | EMERGENCY LA MEDICAID | OTHER | 000018248 | 05 | AL | MEDICAID | 051523881 | 01 | AL | BLUE CROSS | OTHER | 051539050 | 01 | AL | BLUE CROSS | OTHER | 160005902 | 01 | AL | RAILROAD MEDICARE | OTHER | 051525119 | 01 | AL | BLUE CROSS | OTHER | 051543189 | 01 | AL | BLUE CROSS | OTHER | C74602 | 01 | AL | HEALTHSPRING | OTHER | C74608 | 01 | AL | VIVA | OTHER | 009932802 | 05 | AL | MEDICAID | 009941163 | 05 | AL | MEDICAID | 00125158 | 01 | AL | MISSISSIPPI MEDICAID | OTHER | 000018248 | 01 | AL | BLUE CROSS | OTHER | 051529995 | 01 | AL | BLUE CROSS | OTHER |