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UNIVERSITY OF TENNESSEE MARTIN NPI 1861926479


NPI Information

NPI: 1861926479
Provider Name: UNIVERSITY OF TENNESSEE MARTIN

Doing Business As: UT-MARTIN SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 44D2198439

Address:
95 MOUNT PELIA RD
ELAM CENTER
MARTIN, TN
ZIP 38238
Phone: (972) 367-4845
Get Directions

UNIVERSITY OF TENNESSEE MARTIN is an orthopaedic surgery in Martin, 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. UNIVERSITY OF TENNESSEE MARTIN NPI is 1861926479. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ut-martin Sports Medicine.

The provider's business location address is:

95 MOUNT PELIA RD
ELAM CENTER
MARTIN, TN
ZIP 38238-001
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 44D2198439 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/20/2017.


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 Surgery54536TENNESSEEYes

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: 11/14/2023

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