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WEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINEP.C. NPI 1043240716


NPI Information

NPI: 1043240716
Provider Name: WEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINE,P.C.

Doing Business As: SPORTS, ORTHOPEDICS & SPINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
569 SKYLINE DR
SUITE 100
JACKSON, TN
ZIP 38301
Phone: (731) 427-7888
Get Directions

WEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINE,P.C. is an orthopaedic surgery in Jackson, TN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. WEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINE,P.C. NPI is 1043240716. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sports, Orthopedics & Spine.

The provider's business location address is:

569 SKYLINE DR
SUITE 100
JACKSON, TN
ZIP 38301-911
Phone: (731) 427-7888
Fax: (731) 265-4152

The provider's authorized official is Kay Jordan .
The authorized official title is Administrator and has the following contact phone number (731) 427-7888.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery26655TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11141740001MEDICARE NSCTENNESSEE
23709355MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
33709355MEDICAIDTENNESSEE

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: 4/28/2024

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