McMinnville Orthopaedic Clinic
Organization Active NPI Orthopaedic Surgery Physician · Hartford, KY
NPI 1306809199 · NPPES record last updated May 26, 2021
Key facts
- NPI
- 1306809199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- MCMINNVILLE ORTHOPAEDIC CLINIC
- Practice address
- 1215 Old Main St
Hartford, KY 42347-1619 - Phone
- (270) 730-5344
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Douglas Brandt Haynes, M.D.
- Title
- Partner
- Phone
- (931) 473-9624
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1215 Old Main St
Hartford, KY 42347-1619
Mailing address
207 Oak Park
MC Minnville, TN 37110-1336
Phone (931) 473-9624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3191762 | Medicaid | TN | |
| 3812480 | Medicaid | TN | |
| 3384004 | Medicaid | TN |
Other providers in Hartford, KY
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- Joseph Stewart McCarty
- John McEwen
- Mark Douglas McGinnis
- Mending Minds, LLC
- Melinda Marshall Milam
- Dana Brianne Milligan
- Charles Thornton Morse Jr.
- Stacie Abshier Moyers
All providers in Hartford, KY · Orthopaedic Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.