1306099775 NPI number — SEVEN SPRINGS ORTHOPAEDICS AND SPORTS MEDICINE

Table of content: (NPI 1306099775)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306099775 NPI number — SEVEN SPRINGS ORTHOPAEDICS AND SPORTS MEDICINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEVEN SPRINGS ORTHOPAEDICS AND SPORTS MEDICINE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306099775
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
317 SEVEN SPRINGS WAY
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37027-4575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-370-9992
Provider Business Mailing Address Fax Number:
615-370-9665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5073 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
SPRING HILL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37174-2737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-861-4444
Provider Business Practice Location Address Fax Number:
615-861-4455
Provider Enumeration Date:
10/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
615-370-9990

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3370104 . This is a "MEDICARE PTAN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com