DR. SHAWN PATRICK MOUNTAIN (NPI# 1235458183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235458183 |
| Entity Type | Individual |
| Full Name | DR. SHAWN PATRICK MOUNTAIN |
| Credential | D.O |
| Practice Address |
100 Physicians Way Suite 110 Lebanon TN 37090-8102 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6155476700 |
| Practice Fax Number | 6155476707 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2908 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0102203670 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 58.003128 | OH | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2908 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
100 PHYSICIANS WAY SUITE 110 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1982059317 | Lydia Moore | Nurse Practitioner | 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 | 2016-05-04 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1043615644 | Kristina Moore | Physician Assistant | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2014-10-27 |
| 1386073674 | Stacey Atkins | Nurse Practitioner | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2013-11-06 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1538407127 | Casey Paige Lewis | Pharmacist | 100 Physicians Way, Lebanon, TN 37090-8102 | 2013-01-16 |
| 1134471725 | Uap Lebanon Endo, LLC | Nurse Anesthetist, Certified Registered | 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 | 2012-10-08 |
| 1467737999 | Janet Daily | Nurse Practitioner | 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 | 2011-10-16 |
| 1023327814 | Kristy M Blaney | Registered Nurse | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2010-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
| 1588864938 | Orthocincy | Orthopaedic Surgery | 100 Arrow Springs Blvd, Suite 2600, Lebanon, OH 45036-9864 | 2007-07-24 |
| 1508896176 | Charles Carr | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
| 1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
| 1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
| 1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
| 1235528027 | Jeffrey Barnes | Orthopaedic Surgery | 2209 Raines Ct, Spring Hill, TN 37174-7521 | 2015-01-15 |
| 1821325424 | West Tennessee Orthopaedics and Sports Medicine, PC | Orthopaedic Surgery | 1003 E Reelfoot Ave., Suite 4, Union City, TN 38261-5871 | 2009-11-03 |
| 1710154331 | James P Leonard | Orthopaedic Surgery | 1215 21st Avenue, Mce South Tower, Suite 3200, Nashville, TN 37205 | 2008-05-13 |
| 1588701999 | J W Thomas Byrd | Orthopaedic Surgery | 2004 Hayes St Ste 700, Nashville, TN 37203-5178 | 2007-02-01 |
| 1811919335 | Lawrence F Schrader | Orthopaedic Surgery | 927 Cordova Station Ave, Cordova, TN 38018-6316 | 2006-07-24 |
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| 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.