WATAUGA ORTHOPAEDICS PLC NPI 1104125210

NPI Information

NPI: 1104125210
Provider Name: WATAUGA ORTHOPAEDICS, PLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Other Name: WATAUGA ORTHOPAEDICS OF KINGSPORT
Address: 875 LARRY NEIL WAY
KINGSPORT, TN
ZIP 37601
Phone: (423) 282-9011

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NPI Details

WATAUGA ORTHOPAEDICS, PLC is a durable medical equipment medical supplies in Kingsport, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WATAUGA ORTHOPAEDICS, PLC NPI is 1104125210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Watauga Orthopaedics Of Kingsport.

The provider's business location address is:

875 LARRY NEIL WAY
KINGSPORT, TN
ZIP 37601
Phone: (423) 282-9011
Fax: (423) 282-0035

The provider's authorized official is Christy Harris .
The authorized official title is Billing Manager and has the following contact phone number (423) 282-9582.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 6/26/2024.

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	License State	Primary
1	207X00000X	Orthopaedic Surgery	TENNESSEE	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	332B00000X	Durable Medical Equipment & Medical Supplies	TENNESSEE	Yes
4	363A00000X	Physician Assistant	TENNESSEE	No

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
1	3706248	MEDICAID	TENNESSEE

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: 3/30/2025

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