Organization Active NPI

Lifestyle Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1104077940
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LIFESTYLE ORTHOPEDICS PLLC
Practice address
4473 Webb Rd
Chattanooga, TN 37416-1620
Phone
(423) 488-8770
Fax
(423) 805-2764
NPI assigned
Oct 9, 2008
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
William Michael Tew, MDNPI 1932185105
Title
Owner
Phone
(423) 488-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4473 Webb Rd
Chattanooga, TN 37416-1620

Mailing address

4473 Webb Rd
Chattanooga, TN 37416-1620
Phone (423) 488-8770

National Provider Directory

National Provider Directory

Locations

979 E 3rd St
Ste A245
Chattanooga, TN 37403
Phone (423) 778-2867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1104077940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 WEBB RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161620",
            "telephone_number": "423-488-8770",
            "fax_number": "423-805-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 WEBB RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161620",
            "telephone_number": "423-488-8770",
            "fax_number": "423-805-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-488-8770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.