Active NPI
Mid South Orthopedic Associates PC
- Orthopaedic Surgery Physician
- Cordova, TN
National Provider Identifier
1003829664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 28886
- Legal business name
- MID SOUTH ORTHOPEDIC ASSOCIATES PC
- Practice address
- 927 Cordova Station Ave
Cordova, TN 38018-6316 - Phone
- (901) 465-4300
- Fax
- (901) 465-3357
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence F Schrader
- Title
- President
- Phone
- (901) 465-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 28886 | TN | Primary |
Addresses
Primary practice location
927 Cordova Station Ave
Cordova, TN 38018-6316
Mailing address
927 Cordova Station Ave
Cordova, TN 38018-6316
Phone (901) 465-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000028886 | Medicaid | TN |
Other names 1
- SCHRADER ORTHOPEDICS AND STEM CELL TREATMENT CENTER, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
927 Cordova Station Ave
Cordova, TN 38018
Phone (901) 465-4300
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cordova, TN
- NPI 1811919335
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1760587786
-
- Family Nurse Practitioner
- Oakland, TN
- NPI 1053336560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1003829664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 CORDOVA STATION AVE",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186316",
"telephone_number": "901-465-4300",
"fax_number": "901-465-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 CORDOVA STATION AVE",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186316",
"telephone_number": "901-465-4300",
"fax_number": "901-465-3357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID SOUTH ORTHOPEDIC ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "SCHRADER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-465-4300",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "28886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000028886",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SCHRADER ORTHOPEDICS AND STEM CELL TREATMENT CENTER, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cordova, TN
- Margaret Alyson Meyer, PT, DPT
- Michael E Steuer, MD, PC
- Janet Michael
- Tawny Mickey, BCBA
- Mid South Medical Systems LLC
- Mid South Urology P C
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Minimally Invasive OB/GYN Services, PLLC
- Mid-South Neurological Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.