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TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS PC NPI 1154365104


NPI Information

NPI: 1154365104
Provider Name: TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC

Doing Business As: TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5002 CROSSING CIRCLE
SUITE 200
MT. JULIET, TN
ZIP 37122
Phone: (615) 553-5500
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TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC is a specialist in Mt. Juliet, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC NPI is 1154365104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tennessee Sports Medicine & Orthopaedics.

The provider's business location address is:

5002 CROSSING CIRCLE
SUITE 200
MT. JULIET, TN
ZIP 37122-471
Phone: (615) 553-5500
Fax: (615) 553-5501

The provider's authorized official is Charles Robert Kaelin .
The authorized official title is Owner/physician and has the following contact phone number (615) 553-5500.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25086TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13723564MEDICARE ID-TYPE UNSPECIFIED
25022730001MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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