Organization Active NPI

Voytik Center for Orthopedic Care, PC

  • Orthopaedic Surgery Physician
  • Cleveland, TN
National Provider Identifier
1215116231
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO1133 Issued in TN
Legal business name
VOYTIK CENTER FOR ORTHOPEDIC CARE, PC
Practice address
3913 Georgetown Rd NW
Cleveland, TN 37312-1806
Phone
(423) 479-3600
Fax
(423) 303-1234
NPI assigned
Oct 25, 2007
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Summer Groomes
Title
Practice Manager
Phone
(423) 303-3561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0000001237 TN
Orthopaedic Surgery Physician 207X00000X DO1133 TN Primary

Addresses

Primary practice location

3913 Georgetown Rd NW
Cleveland, TN 37312-1806

Mailing address

3913 Georgetown Rd NW
Cleveland, TN 37312-1806
Phone (423) 479-3600

Other identifiers 2

IdentifierTypeStateIssuer
P00669511OtherTNRAILROAD MEDICARE
1504877MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080312000590 TN Part B Supplier - Clinic/Group Practice 0749365963 Receives reassigned benefits from 3 practitioners
Practice locations: Cleveland, TN
O20110909002811 TN DME Supplier - Physician - Osteopathic Manipulative MedicineDME Supplier - Orthotic Personnel 0749365963 Practice locations: Cleveland, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Voytik Center for Orthopedic Care3913 Georgetown Rd NW, Cleveland, TN 37312-1806(423) 479-3600 Neuromuscular Elect Stimulators (NMES)/Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings Accepts assignmentParticipating since Feb 29, 2008

National Provider Directory

National Provider Directory

Locations

2700 Westside Dr NW
Ste 301
Cleveland, TN 37312
Phone (423) 472-9755

3913 Georgetown Rd NW
Cleveland, TN 37312
Phone (423) 479-3600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1215116231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 GEORGETOWN RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373121806",
            "telephone_number": "423-479-3600",
            "fax_number": "423-303-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 GEORGETOWN RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373121806",
            "telephone_number": "423-479-3600",
            "fax_number": "423-303-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYTIK CENTER FOR ORTHOPEDIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2023-09-15",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "GROOMES",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-303-3561"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PAC0000001237",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "DO1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00669511",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504877",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.