ELITE SPORTS MEDICINE & ORTHOPAEDIC CENTER, PLC (NPI# 1366868747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366868747 |
| Entity Type | Organization |
| Organization Name | ELITE SPORTS MEDICINE & ORTHOPAEDIC CENTER, PLC |
| Practice Address |
1616 W Main St Suite 203 Lebanon TN 37087-3100 |
| Mailing Address |
2004 Hayes St Suite 200 Nashville TN 37203-2646 |
| Practice Telephone | 6152842000 |
| Practice Fax Number | 6152842003 |
| Mailing Telephone | 6152842000 |
| Mailing Fax Number | 6152842003 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | JUSTIN LAWSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6152842000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | GROUP MEDICARE NUMBER | 3732025 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| Street Address |
1616 W MAIN ST SUITE 203 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867706 | Katrina Marie Gill | Physician Assistant | 1616 W Main St, Lebanon, TN 37087-3100 | 2005-08-10 |
| 1629468327 | Tennessee Orthopaedic Alliance, Pa | Durable Medical Equipment & Medical Supplies | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2015-02-02 |
| 1740511401 | Chad T Price Md PC | Orthopaedic Surgery | 1616 W Main St, Suite 203, Lebanon, TN 37087-3100 | 2010-01-20 |
| 1932383676 | Willard F Gailbreath IIi | Nurse Practitioner | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2007-12-17 |
| 1942232616 | Danna Suzanne Johnson | Specialist/Technologist | 1616 W Main St, Lebanon, TN 37087-3100 | 2006-07-06 |
| 1003845348 | Justin Wayne Mckinney | Specialist/Technologist | 1616 W Main St, Lebanon, TN 37087-3100 | 2006-06-30 |
| 1043287568 | Steven A Urban | Specialist | 1616 W Main St, Suite 300, Lebanon, TN 37087-3100 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225474 | Katie Jane Clark | Specialist | 44 Industrial Way Ste D, Lebanon, OR 97355-4364 | 2019-10-03 |
| 1750832887 | Carli Wymore | Specialist | 35 Mullins Dr Ste 3, Lebanon, OR 97355-3985 | 2016-10-24 |
| 1588097141 | Elizabeth Lauziere | Specialist | 13 Old Kings Hwy, Lebanon, NH 03766-2742 | 2013-08-18 |
| 1215236120 | Kathy King Newman | Specialist | 350 S 8th, Lebanon Rehab, Lebanon, OR 97355 | 2011-03-17 |
| 1548564354 | Lisa Krempasky | Specialist | 6 Concord Rd, Lebanon, NJ 08833-4337 | 2011-01-08 |
| 1053543934 | Tennessee Womens Health Care P.C. | Specialist | 404 N Castle Heights Ave Ste E, Lebanon, TN 37087-1512 | 2009-08-11 |
| 1710158266 | Lebanon Hematologyoncology Inc | Specialist | 670 N Broadway St, Lebanon, OH 45036-1724 | 2008-03-12 |
| 1932377561 | Patrick R Burkett | Specialist | 30995 Sw Larson Rd, Lebanon, OR 97355-9272 | 2008-02-17 |
| 1700075421 | Tennessee Sports Medicine & Orthopaedics, PC | Specialist | 1427 W Baddour Pkwy, Suite A, Lebanon, TN 37087-2513 | 2007-10-18 |
| 1366657231 | Lori Martin | Specialist | 6650 Eastgate Blvd Ste 101, Lebanon, TN 37090-6018 | 2007-05-13 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on ELITE SPORTS MEDICINE & ORTHOPAEDIC CENTER, PLC.
| 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.