ORTHOTENNESSEE, PC (NPI# 1679657969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679657969 |
| Entity Type | Organization |
| Organization Name | ORTHOTENNESSEE, PC |
| Other Organization Name | ORTHOTENNESSEE ORTHOTICS |
| Practice Address |
827 E Lamar Alexander Pkwy Maryville TN 37804-5001 |
| Mailing Address |
260 Fort Sanders West Blvd Knoxville TN 37922-3355 |
| Practice Telephone | 8659840900 |
| Mailing Telephone | 8657694545 |
| Mailing Fax Number | 8657694501 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | JON-DAVID DEESON (CEO) |
| Authorized Official Telephone | 8657694545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| OrthoTennessee Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450360 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 1130 Middle Creek Rd Ste 270, Sevierville, TN 37862-3052 | 2016-11-18 |
| 1750472650 | Orthotennessee, PC | Orthopaedic Surgery | 1422 Old Weisgarber Rd., Knoxville, TN 37909-2674 | 2006-09-27 |
| 1669563409 | Orthotennessee, PC | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2006-09-27 |
| 1932290798 | Orthotennessee, PC | Orthopaedic Surgery | 2130 N Charles G Seivers Blvd, Clinton, TN 37716-6705 | 2006-09-27 |
| 1285020768 | Orthotennessee, PC | Orthopaedic Surgery | 1130 Middle Creek Rd, Ste. 270, Sevierville, TN 37862 | 2015-04-10 |
| 1396133500 | Orthotennessee, PC | Occupational Therapist | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2014-12-23 |
| 1376888537 | Orthotennessee, PC | Internal Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2012-11-29 |
| 1225306533 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8302 | 2011-12-01 |
| 1144513029 | Orthotennessee, PC | Orthopaedic Surgery | 1855 Tanner Way, Suite 110, Harriman, TN 37748-0000 | 2011-05-25 |
| 1750560132 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 90 Vermont Ave, Suite 301, Oak Ridge, TN 37830-6474 | 2007-11-01 |
| Street Address |
827 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669563409 | Orthotennessee, PC | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2006-09-27 |
| 1487284360 | Rachel Hannah West | Physician Assistant | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2020-01-20 |
| 1396133500 | Orthotennessee, PC | Occupational Therapist | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2014-12-23 |
| 1740609924 | Elizabeth Anne Mcbride | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2014-04-15 |
| 1801024229 | Justin B Jones | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804 | 2009-06-24 |
| 1689832735 | Jay Wesley Winn | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2008-05-27 |
| 1396961785 | Brandon Shane Asbury | Orthopaedic Surgery | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2007-04-17 |
| 1255417499 | Orthotennessee, PC | Clinic/Center | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629610308 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1715 W Broadway Ave, Maryville, TN 37801-5509 | 2019-10-14 |
| 1497161137 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 930 Coleman's Crossing Blvd., Maryville, OH 43040-2543 | 2014-07-02 |
| 1417375403 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1602 E Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2014-04-07 |
| 1336562453 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 103 Station Dr, Maryville, TN 37804-4190 | 2014-01-24 |
| 1881028413 | First Choice Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 679 Morganton Square Dr, Maryville, TN 37801-4763 | 2013-08-30 |
| 1164727046 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 266 Cherokee Professional Park, Maryville, TN 37804-5153 | 2011-01-24 |
| 1346494176 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6607 State Route 162, Maryville, IL 62062-8514 | 2008-11-06 |
| 1306000195 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 125 E South Ave, Maryville, MO 64468-2669 | 2008-07-11 |
| 1275720740 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2409 Us Highway 411 S, Maryville, TN 37801-8635 | 2007-09-28 |
| 1730211004 | Balance and Support Dynamics, LLC | Durable Medical Equipment & Medical Supplies | 1431 E Harper Ave, Maryville, TN 37804-3261 | 2007-03-12 |
| Find all providers in MARYVILLE | ||||
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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.