Active NPI
Tusculum University
- Orthopaedic Surgery Physician
- Greeneville, TN
National Provider Identifier
1033711726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TUSCULUM UNIVERSITY
- Practice address
- 60 Shiloh Rd
Greeneville, TN 37745-0595 - Phone
- (972) 367-4845
- NPI assigned
- Nov 9, 2020
- 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
- Mouzon Bass III
- Title
- Administrator/Agent
- Phone
- (972) 367-4845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
60 Shiloh Rd
Greeneville, TN 37745-0595
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names 1
- Tusculum Sports Medicine
National Provider Directory
National Provider DirectoryLocations
60 Shiloh Rd
Tusculum, TN 37745
Phone (423) 636-7300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Athletic Trainer
- Canton, MO
- NPI 1467952754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1033711726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 SHILOH RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377450595",
"telephone_number": "972-367-4845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSCULUM UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "MOUZON",
"authorized_official_title_or_position": "ADMINISTRATOR/AGENT",
"authorized_official_telephone_number": "972-367-4845",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tusculum Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.