Active NPI
Clarksville Orthopedics, PLC
- Orthopaedic Surgery Physician
- Clarksville, TN
National Provider Identifier
1366617466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20622
- Legal business name
- CLARKSVILLE ORTHOPEDICS, PLC
- Practice address
- 311 Landrum Place
Suite 100
Clarksville, TN 37043 - Phone
- (931) 552-7474
- Fax
- (931) 552-3616
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 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
- Dr. Duncan L McKellar, M. D.
- Title
- Sole Member
- Phone
- (931) 552-7474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20622 | TN | Primary |
Addresses
Primary practice location
311 Landrum Place
Suite 100
Clarksville, TN 37043
Mailing address
311 Landrum Place
Suite 100
Clarksville, TN 37043
Phone (931) 552-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3054153 | 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": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1366617466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 LANDRUM PLACE",
"address_2": "SUITE 100",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-552-7474",
"fax_number": "931-552-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 LANDRUM PLACE",
"address_2": "SUITE 100",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-552-7474",
"fax_number": "931-552-3616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSVILLE ORTHOPEDICS, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "MCKELLAR",
"authorized_official_first_name": "DUNCAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "931-552-7474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "20622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3054153",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
- Clarksville Nursing and Rehabilitation Center LLC
- Clarksville OB GYN Associates
- Clarksville Operating Group LLC
- Clarksville Ophthalmology P.C.
- Clarksville Oral and Facial Surgery, PLLC
- Clarksville Pain Institute, LLC
- Clarksville Pain Institute, LLC (Cox Family Pharmacy)
- Clarksville Pediatric Dentistry, PC
- Clarksville Pharmacy I LLC (Andy's Pharmacy)
- Clarksville Pharmacy I LLC (Andy's Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.