APPALACHIAN ORTHOPAEDIC ASSOCIATES PC (NPI# 1336175462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336175462 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN ORTHOPAEDIC ASSOCIATES PC |
| Practice Address |
3 Professional Park Dr Suite 21 Johnson City TN 37604-6529 |
| Practice Telephone | 4239793333 |
| Practice Fax Number | 4239266713 |
| Mailing Telephone | 4239793333 |
| Mailing Fax Number | 4239266713 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | MR. KEN M KISIEL (CEO) |
| Authorized Official Telephone | 4232391550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE RAILROAD | CD1842 | 01 |
| TN | 3710613 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981805 | Appalachian Orthopaedic Associates PC | Orthopaedic Surgery | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3858 | 2017-02-16 |
| 1821196148 | Appalachian Orthopaedic Associates PC | Clinic/Center | 105 Meadowview Rd, Ste 4, Bristol, TN 37620-1725 | 2006-09-20 |
| 1639108822 | Appalachian Orthopaedic Associates PC | Orthopaedic Surgery | 260 Midway Medical Park, Ste 100, Bristol, TN 37620-1721 | 2006-07-01 |
| Street Address |
3 PROFESSIONAL PARK DR SUITE 21 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145687 | Paul Thurdekoos | Surgery | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| 1033660386 | John Lawson Surgical Group | Nurse Practitioner | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2016-10-21 |
| 1689125296 | Savanna Blevins | Nurse Practitioner | 3 Professional Park Dr, Johnson City, TN 37604-6529 | 2016-10-18 |
| 1922457423 | Daniel Foster | Physical Therapist | 3 Professional Park Dr, Suite #21, Johnson City, TN 37604-6529 | 2016-06-06 |
| 1780938522 | Kyle J Morgan | Physician Assistant | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604 | 2012-11-01 |
| 1366752032 | Jessica Lynn Childers | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2010-10-15 |
| 1144475922 | Henry J. Williams | Orthopaedic Surgery | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6529 | 2008-11-20 |
| 1619151719 | Bart Isaac Mckinney | Orthopaedic Surgery | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6529 | 2007-12-26 |
| 1659407302 | Angela D Higgins | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2007-02-26 |
| 1528128063 | Appalachian Orthopaedic Associates, PC | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043421779 | Timothy Douglas Jenkins | Orthopaedic Surgery | 2410 Susannah Street, Johnson City, TN 37601 | 2007-05-24 |
| 1457577736 | Ted Ford Sykes | Orthopaedic Surgery | 1602 Seward Dr, Johnson City, TN 37604-7144 | 2007-04-17 |
| 1689744526 | Orest Myroslav Wasyliw | Orthopaedic Surgery | 441 Riverside Drive, Johnson City, NY 13790-2711 | 2006-11-08 |
| 1053378273 | David R Hardin | Orthopaedic Surgery | 111 Pine Ct, Johnson City, TN 37601-5357 | 2006-05-01 |
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1245740422 | Blakeley Elizabeth Burleson | Orthopaedic Surgery | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2017-10-02 |
| 1437565074 | Alan J Aiken | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2014-07-03 |
| 1891041489 | Scott R Macdonald | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2012-08-01 |
| 1912260654 | Dustin Michael Price | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-06-18 |
| 1326307687 | Thomas W Gill Jr. | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-05-08 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on APPALACHIAN ORTHOPAEDIC ASSOCIATES 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.