Mid-State Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD27426 Issued in TN

Legal business name

MID-STATE SPORTS MEDICINE

Practice address

221 N Oak Ave
Cookeville, TN 38501-2437

Phone

(931) 525-6676

Fax

(931) 525-6689

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard I Williams, M.D.

Title

Owner

Phone

(931) 525-6676

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1063606655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-525-6676",
            "fax_number": "931-525-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-525-6676",
            "fax_number": "931-525-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-525-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD27426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E. Cole MD, PLLC
• Michael S Pippin MD PC
• Anthony A Michael, LPC
• Christina Lasha Mick, LPC
• Renee Candace Mickey, ATC, LAT, MS, PES
• Middle Tennessee Eye Associates of Cookeville PLLC (Middle Tennessee Eye Associates)
• Middle Tennessee Surgical Specialists, LLC
• Logan James Miles
• Milk Guide Lactation of Tennessee LLC
• Brittany Millard

• Orthopaedic Surgery Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.