TENNESSEE SPORTS MEDICINE, PC (NPI# 1548571482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548571482 |
| Entity Type | Organization |
| Organization Name | TENNESSEE SPORTS MEDICINE, PC |
| Practice Address |
5000 Crossing Circle Suite 101 Mount Juliet TN 37122-8583 |
| Practice Telephone | 6157581010 |
| Practice Fax Number | 6157583875 |
| Mailing Telephone | 6157581010 |
| Mailing Fax Number | 6157583875 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | CHARLES ROBERT KAELIN JR. (ORTHOPAEDIC SURGEON) |
| Authorized Official Telephone | 6157581010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 025086 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1520487 | 05 | |
| MEDICARE ID | 3723564 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
| 1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
| 1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
| 1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
| 1306352166 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1501 12th Ave S, Nashville, TN 37203-4909 | 2017-12-15 |
| Street Address |
5000 CROSSING CIRCLE SUITE 101 |
| City | MOUNT JULIET |
| State | TN |
| Zip Code | 37122-8583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891758389 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5000 Crossing Circle, Mount Juliet, TN 37122-8471 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| 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 |
|---|---|---|---|---|
| 1902428816 | Tennessee Valley Orthopaedics, LLC | Orthopaedic Surgery | 110 Hospital Dr Ste G20, Jefferson City, TN 37760-5281 | 2020-05-13 |
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| 1588291694 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 215 Gothic Ct # 100, Franklin, TN 37067-8313 | 2020-03-26 |
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1417597196 | Spine and Orthopedic Specialists of Tennessee, Pllc | Orthopaedic Surgery | 2002 Richard Jones Rd Ste C300, Nashville, TN 37215-2867 | 2020-01-10 |
| 1033757802 | Mark S. Sumida, Md Pllc | Orthopaedic Surgery | 1724 Hamill Rd Ste 204, Hixson, TN 37343-5098 | 2019-12-12 |
| 1629619820 | Jon Slaven | Orthopaedic Surgery | 260 Midway Medical Park Ste 100, Bristol, TN 37620-1722 | 2019-09-30 |
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1801357058 | Bone and Joint Institute of Tennessee Inc | Orthopaedic Surgery | 1106 Elliston Way Ste 300, Thompsons Station, TN 37179-4407 | 2019-03-29 |
| 1861926479 | University of Tennessee Martin | Orthopaedic Surgery | 95 Mount Pelia Rd, Elam Center, Martin, TN 38238-0001 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JULIET |
| Zip Code | 37122 |
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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.