PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC (NPI# 1962809129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962809129 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC |
| Other Organization Name | HUGHSTON CLINIC ORTHOPAEDICS |
| Practice Address |
100 Physicians Way Suite 120 Lebanon TN 37090-8102 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6157844336 |
| Practice Fax Number | 6157844337 |
| Mailing Telephone | 7063246661 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE DME | 0922510013 | 01 |
| Other Name | Type Code |
|---|---|
| Hughston Clinic Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1124554068 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 111 Highway 70 E Ste 103, Dickson, TN 37055-2080 | 2017-05-11 |
| 1710065735 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 5651 Frist Blvd Ste 711, Hermitage, TN 37076-2061 | 2006-11-01 |
| 1083078711 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 313 N Main St, Suite 2, Ashland City, TN 37015-1347 | 2016-04-08 |
| 1639582398 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 353 New Shackle Island Rd, Suite 142-c, Hendersonville, TN 37075-2379 | 2014-06-10 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1083789176 | Premier Orthopaedics & Sports Medicine, Plc | Clinic/Center | 5651 Frist Blvd, Suite 515, Hermitage, TN 37076-2054 | 2006-11-22 |
| 1659443828 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 300 Stonecrest Blvd, Suite 200, Smyrna, TN 37167-5688 | 2006-11-14 |
| 1972681294 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2006-11-02 |
| 1174600332 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 394 Harding Pl, Suite 200, Nashville, TN 37211-3980 | 2006-11-01 |
| Street Address |
100 PHYSICIANS WAY SUITE 120 |
| 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 |
| 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 |
| 1235458183 | Shawn Patrick Mountain | Orthopaedic Surgery | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2010-05-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37090 | ||||
| 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 |
|---|---|---|---|---|
| 1669024972 | Advanced Dme, LLC | Durable Medical Equipment & Medical Supplies | 1432 W Main St Ste 103, Lebanon, TN 37087-1329 | 2019-07-16 |
| 1972164424 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 988 Isabel Dr, Lebanon, PA 17042-7483 | 2019-06-25 |
| 1528560786 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | Po Box 1148, Lebanon, VA 24266-1148 | 2018-03-05 |
| 1356849301 | Loeco LLC | Durable Medical Equipment & Medical Supplies | 1123 N Castle Heights Ave Ste L, Lebanon, TN 37087-5725 | 2018-01-24 |
| 1316455587 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | 206 Pruner St, Lebanon, VA 24266-4210 | 2018-01-22 |
| 1407100274 | Jackson Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 77 Business Park Dr, Lebanon, TN 37090-1237 | 2012-11-01 |
| 1992073936 | Rmi, Incorporated | Durable Medical Equipment & Medical Supplies | 2220 N Lebanon St, Lebanon, IN 46052-1109 | 2011-12-06 |
| 1588946776 | Synergy Respiratory Care | Durable Medical Equipment & Medical Supplies | 1165 S Park St, Lebanon, OR 97355-3452 | 2011-09-13 |
| 1285933598 | Mobility One LLC | Durable Medical Equipment & Medical Supplies | 930 Meily St, Lebanon, PA 17046-2855 | 2011-03-25 |
| 1275767584 | Homewell Medical Inc | Durable Medical Equipment & Medical Supplies | 360 N Mount Zion Rd, Suite D, Lebanon, IN 46052-8330 | 2009-05-14 |
| 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.