Organization Active NPI

Lawrenceburg Orthopaedics and Sports Medicine Institute PC

  • Orthopaedic Surgery Physician
  • Lawrenceburg, TN
National Provider Identifier
1336306117
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
43514 Issued in TN
Legal business name
LAWRENCEBURG ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PC
Practice address
1323 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone
(931) 766-9996
Fax
(931) 766-0955
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
William Lindsey Fontenot, M.D.
Title
President
Phone
(931) 766-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 43514 TN Primary

Addresses

Primary practice location

1323 S Locust Ave
Lawrenceburg, TN 38464-4040

Mailing address

1323 S Locust Ave
Lawrenceburg, TN 38464-4040
Phone (931) 766-9996

Other identifiers 2

IdentifierTypeStateIssuer
30014952OtherMEDICARE
1515083MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1336306117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-766-9996",
            "fax_number": "931-766-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-766-9996",
            "fax_number": "931-766-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-766-9996",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "43514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "30014952",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.