Active NPI
Lawrenceburg Orthopaedics and Sports Medicine Institute PC
- Orthopaedic Surgery Physician
- Lawrenceburg, TN
National Provider Identifier
1336306117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 43514
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30014952 | Other | MEDICARE | |
| 1515083 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI 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
- Lawrenceburg Eye Care, PLLC
- Lawrenceburg Family Practice Associates, PC
- Lawrenceburg Neurology Associates PC
- Lawrenceburg Neurology, PC
- Lawrenceburg NH Operations, LLC
- Lawrenceburg Orthopaedics, PC
- Lawrenceburg Physical Therapy, LLC
- Lawrenceburg Surgical Care, PLLC
- Lebanon Eye Associates, PC
- Ledbetter Drug Co.
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.