UPPER CUMBERLAND ORTHOPEDIC SURGERY, PC (NPI# 1184610859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184610859 |
| Entity Type | Organization |
| Organization Name | UPPER CUMBERLAND ORTHOPEDIC SURGERY, PC |
| Practice Address |
105 S. Willow Ave. Cookeville TN 38501 |
| Mailing Address |
105 S. Willow Ave Cookeville TN 38501 |
| Practice Telephone | 9315269518 |
| Practice Fax Number | 9313720087 |
| Mailing Telephone | 9315269518 |
| Mailing Fax Number | 9313720087 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | PAULA A EASTERLY (MANAGER) |
| Authorized Official Telephone | 9313727716 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65942575 | 05 | |
| TN | 3704956 | 05 |
| Street Address |
105 S. WILLOW AVE. |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073882031 | Independent Physical Therapy | Clinic/Center | 586 S Jefferson Ave Ste I, Cookeville, TN 38501-4632 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635594 | Bryn Medical Pllc | Clinic/Center | 4295 Cromwell Rd Ste 301, Chattanooga, TN 37421-2163 | 2020-09-29 |
| 1952914285 | Methodist Physician Practice LLC | Clinic/Center | 1211 Union Ave Ste 330, Memphis, TN 38104-6655 | 2020-08-26 |
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1245898303 | Summit Medical Group, Pllc | Clinic/Center | 7545 Barnett Way Ste A, Powell, TN 37849-3565 | 2019-06-04 |
| 1992362412 | The Restore Clinic | Clinic/Center | 268 Veterans Pkwy Ste F, Murfreesboro, TN 37128-6432 | 2019-05-20 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1720565906 | Woodland Medical Pllc | Clinic/Center | 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 | 2018-07-20 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1316436611 | Lourdes Physician Services LLC | Clinic/Center | 103 Continental Pl Ste 200, Brentwood, TN 37027-1042 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on UPPER CUMBERLAND ORTHOPEDIC SURGERY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.