TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC (NPI# 1700075421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700075421 |
| Entity Type | Organization |
| Organization Name | TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC |
| Other Organization Name | TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS |
| Practice Address |
1427 W Baddour Pkwy Suite A Lebanon TN 37087-2513 |
| Practice Telephone | 6154437700 |
| Practice Fax Number | 6154437200 |
| Mailing Telephone | 6154437700 |
| Mailing Fax Number | 6154437200 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. CHARLES ROBERT KAELIN JR. (OWNER/MD) |
| Authorized Official Telephone | 6154437700 |
| Authorized Official Credential | M.D. |
| 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 | 3080388 | 05 | |
| MEDICARE GROUP NUMBER | 3723654 | 01 |
| Other Name | Type Code |
|---|---|
| Tennessee Sports Medicine & Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295924884 | Tennessee Sports Medicine & Orthopaedics, PC | Specialist | 300 Stonecrest Blvd, Suite 390, Smyrna, TN 37167-5688 | 2007-10-18 |
| 1154365104 | Tennessee Sports Medicine & Orthopaedics, PC | Specialist | 5002 Crossing Circle, Suite 200, Mt. Juliet, TN 37122-8471 | 2006-06-16 |
| Street Address |
1427 W BADDOUR PKWY SUITE A |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2513 |
| 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 |
| 1366657231 | Lori Martin | Specialist | 6650 Eastgate Blvd Ste 101, Lebanon, TN 37090-6018 | 2007-05-13 |
| 1255464541 | Women's Health Center, P.C. | Specialist | 1421 W. Baddour Pkwy, Suite B, Lebanon, TN 37087 | 2007-03-14 |
| Find all providers in LEBANON | ||||
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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.