Middle Tennessee Orthopaedics, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDDLE TENNESSEE ORTHOPAEDICS, PC

Practice address

353 New Shackle Island Rd
Ste 226B
Hendersonville, TN 37075-2386

Phone

(615) 264-2600

Fax

(615) 590-0065

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Paul Fogolin, MD

Title

President

Phone

(615) 264-2600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Middle TN Orthopaedics, PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven B Larson, MD

  • Specialist
  • Goodlettsville, TN
  • NPI 1598729493
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1295879054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "STE 226B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752386",
            "telephone_number": "615-264-2600",
            "fax_number": "615-590-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "STE 226B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752386",
            "telephone_number": "615-264-2600",
            "fax_number": "615-590-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "FOGOLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-264-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716736",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle TN Orthopaedics, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denese Mickelson
• Mid State ENT, LLC
• Middle Tennessee Audiology, Inc
• Middle Tennessee Family Wellness Group, PC
• Middle Tennessee Imaging
• Lori A Middleton, NP
• Taylor Craft Middleton, PHARM.D
• Patricia Mikels
• Kielan Miles, BT
• Victoria Reese Miley

• Durable Medical Equipment & Medical Supplies in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.