ORTHOTENNESSEE, PC (NPI# 1083796064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796064 |
| Entity Type | Organization |
| Organization Name | ORTHOTENNESSEE, PC |
| Other Organization Name | ORTHOTENNESSEE IMAGING |
| Practice Address |
90 Vermont Ave Suite 300 Oak Ridge TN 37830-6474 |
| Mailing Address |
260 Fort Sanders West Blvd Knoxville TN 37922-3355 |
| Practice Telephone | 8654829025 |
| Practice Fax Number | 8654838151 |
| Mailing Telephone | 8657694545 |
| Mailing Fax Number | 8657694501 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-09-29 |
| 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 | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OrthoTennessee Imaging | 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 |
90 VERMONT AVE SUITE 300 |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991837 | Scott Lloyd Baer | Optometrist | 90 Vermont Ave, The Eye Center of Oak Ridge PC, Oak Ridge, TN 37830-6478 | 2005-09-07 |
| 1205459377 | Elick Jan Combs IIi | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2020-05-25 |
| 1164655205 | Natalie Lynn Frasier | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2009-08-24 |
| 1003044033 | Charles Daniel Benson | Orthopaedic Surgery | 90 Vermont Ave, Suite 300, Oak Ridge, TN 37830-6474 | 2009-06-29 |
| 1750560132 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 90 Vermont Ave, Suite 301, Oak Ridge, TN 37830-6474 | 2007-11-01 |
| 1184838344 | Tlc The Laser Center (tri-cities) Inc. | Clinic/Center | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-05-09 |
| 1619090370 | Thomas Lloyd Dahl Jr. | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-04-09 |
| 1518086396 | William F Robinson | Physical Therapist | 90 Vermont Ave, Suite 301, Oak Ridge, TN 37830-6474 | 2007-03-29 |
| 1972635910 | Eric Edward Speckner | Ophthalmology | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-03-12 |
| 1235201393 | Eye Center of Oak Ridge,pc | Optometrist | 90 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889242 | Middle Tennessee Imaging LLC | Clinic/Center | 1718 Charlotte Ave Ste B, Nashville, TN 37203-2941 | 2018-01-30 |
| 1093920787 | Fentress Health Systems, LLC | Clinic/Center | 208 W Central Avenue, Jamestown, TN 38556 | 2007-05-14 |
| 1225252091 | Tennessee Imaging Alliance LLC | Clinic/Center | 1405 Hatcher Ln, Columbia, TN 38401-3535 | 2007-04-12 |
| 1033282405 | Scott County Medical Clinic Inc | Clinic/Center | 19268 Alberta Ave, Oneida, TN 37841 | 2006-11-15 |
| 1750387635 | Tennessee Advanced Neurodiagnostic Institute, Inc. (tanii) | Clinic/Center | 4525 Harding Rd, Ste 102, Nashville, TN 37205-2145 | 2005-06-24 |
| 1174078067 | Wesley Neurology Clinic, PC | Clinic/Center | 8000 Centerview Pkwy, Suite 101, Cordova, TN 38018-4227 | 2016-08-20 |
| 1205086790 | East Tennessee Community Open Mri | Clinic/Center | 1415 Old Weisgarber Rd, Suite 150, Knoxville, TN 37909-1327 | 2008-09-22 |
| 1568644193 | Tennessee Orthopaedic Clinics, PC | Clinic/Center | 9430 Park West Blvd, Suite 235, Knoxville, TN 37923-4200 | 2007-12-05 |
| 1740497593 | Theratech Holdings | Clinic/Center | 40 Burton Hills Blvd, Suite 320, Nashville, TN 37215-6155 | 2007-05-17 |
| 1255417499 | Orthotennessee, PC | Clinic/Center | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
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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.