PETTY ORTHOPAEDICS PC (NPI# 1184683179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184683179 |
| Entity Type | Organization |
| Organization Name | PETTY ORTHOPAEDICS PC |
| Practice Address |
1616 W. Main St. Suite 300 Lebanon TN 37087 |
| Mailing Address |
1616 W Main St Ste 300 Lebanon TN 37087-3101 |
| Practice Telephone | 6154437374 |
| Practice Fax Number | 6154435488 |
| Mailing Telephone | 6154437374 |
| Mailing Fax Number | 6154435488 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | DR. DAMON H PETTY (OWNER) |
| Authorized Official Telephone | 6154437374 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE NPI | 1861452195 | 01 |
| TN | 3732245 | 05 | |
| TN | MEDICARE PTAN | 3732245 | 01 |
| Street Address |
1616 W. MAIN ST. SUITE 300 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861452195 | Damon H Petty | Orthopaedic Surgery | 1616 W. Main St., Suite 300, Lebanon, TN 37087 | 2006-03-23 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1518029388 | Regional Orthopedic Associates, P.C. | Orthopaedic Surgery | 410 Cumberland Street, Lebanon, PA 17042-1704 | 2006-12-15 |
| 1417900598 | William C. Robertson Jr. | Orthopaedic Surgery | 55 Twin Oaks Ave, Suite D-5, Lebanon, OR 97355-2864 | 2006-05-18 |
| 1861460958 | Terrance C Devlin | Orthopaedic Surgery | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2006-03-14 |
| 1851367015 | Lance O Yarus | Orthopaedic Surgery | 410-12 Cumberland St, Lebanon, PA 17042-5314 | 2006-02-27 |
| 1952388712 | Leonard M. Rudolf | Orthopaedic Surgery | 17 Alice Peck Day Dr Unit C, Lebanon, NH 03766-2684 | 2005-12-22 |
| 1487639415 | John E Garber | Orthopaedic Surgery | 2705 N Lebanon St Ste 220, Lebanon, IN 46052-8622 | 2005-12-13 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1457998379 | Specialty Orthopedic Group Tennessee | Orthopaedic Surgery | 365 S Hartmann Dr Ste 106, Lebanon, TN 37087-4788 | 2019-12-10 |
| 1700242682 | Orthopedic Assoc of Lancaster Ltd | Orthopaedic Surgery | 1701 Cornwall Rd, Suite 200, Lebanon, PA 17042-7480 | 2016-01-08 |
| 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.