SURGICAL INNOVATIONS, LLC (NPI# 1629356878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629356878 |
| Entity Type | Organization |
| Organization Name | SURGICAL INNOVATIONS, LLC |
| Practice Address |
163 Business Park Dr Suite #10 Lebanon TN 37090-1241 |
| Practice Telephone | 6155479077 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2012-09-04 |
| Authorized Official Name | MR. SHANE DURKEE (VICE PRESIDENT) |
| Authorized Official Telephone | 7703449819 |
| Authorized Official Credential | VICE PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
163 BUSINESS PARK DR SUITE #10 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245525435 | Amy Baugh | Speech-Language Pathologist | 163 Business Park Dr, Suite 11, Lebanon, TN 37090-1241 | 2011-06-15 |
| 1992243067 | Kathy Fahner | Speech-Language Pathologist | 163 Business Park Dr, Suite 11, Lebanon, TN 37090-1241 | 2017-02-08 |
| 1174061576 | Jordan Sanders | Occupational Therapist | 163 Business Park Dr, Suite 11, Lebanon, TN 37090-1241 | 2017-02-06 |
| 1972962629 | Leah Snow | Physical Therapy Assistant | 163 Business Park Dr, Lebanon, TN 37090-1241 | 2016-02-22 |
| 1407104623 | Tammy S Harris | Specialist | 163 Business Park Dr, Ste 11, Lebanon, TN 37090-1241 | 2012-08-20 |
| 1295082311 | Caitlin Jones | Specialist | 163 Business Park Dr, Ste 11, Lebanon, TN 37090-1241 | 2012-08-08 |
| 1093062226 | Ann Apple | Specialist | 163 Business Park Dr, Lebanon, TN 37090-1241 | 2012-08-07 |
| 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 |
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 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 |
| 1558386771 | Andre C Olivier | Internal Medicine | 100 Physicians Way, Suite 300, Lebanon, TN 37090 | 2006-07-12 |
| 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 |
| 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.