Jason Axt, MD
Surgery, Pediatric Surgery in Nashville, TN. Individual provider (NPI-1).
NPI number1124222617
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1124222617
- Entity type
- Individual (NPI-1)
- Name
- Jason Axt
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2007
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 44695 | IA | Yes |
| 208600000X | Surgery | 44695 | IA | |
| 2086S0120X | Surgery, Pediatric Surgery | 01094724A | IN |
Practice location
2601 TvcNashville, TN 37232-0001
Phone 615-322-4916
Mailing address
2601 TvcNashville, TN 37232-0001
Phone 615-322-4916
Other practice locations
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Indianapolis, IN 46202-5109
Phone 317-944-4681
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