Active NPI
Orthoone Sports Medicine & Orthopaedics, PLLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Arlington, TN
National Provider Identifier
1215431663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC
- Doing business as
- Orthoone Sports Medicine & Orthopaedics, PLLC
- Practice address
- 11851 Will Harris Dr
Arlington, TN 38002 - Phone
- (901) 430-8265
- Fax
- (901) 414-1731
- NPI assigned
- Mar 21, 2018
- 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
- Shanna Smith
- Title
- Director
- Phone
- (901) 853-1174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
11851 Will Harris Dr
Arlington, TN 38002
Mailing address
PO Box 1866
Collierville, TN 38027-1866
Phone (901) 430-8265
Other names 1
- Orthoone Sports Medicine & Orthopaedics, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130312000418 | TN | Part B Supplier - Clinic/Group Practice | 3779738000 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Collierville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Collierville, TN
- NPI 1710229018
O20130312000418
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521590400000",
"number": "1215431663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1866",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380271866",
"telephone_number": "901-430-8265",
"fax_number": "901-414-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 WILL HARRIS DR",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "38002",
"telephone_number": "901-430-8265",
"fax_number": "901-414-1731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SHANNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "901-853-1174"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthoone Sports Medicine & Orthopaedics, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orthoone Sports Medicine & Orthopaedics, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.