Lincoln Medical Center Orthopedic Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LINCOLN MEDICAL CENTER ORTHOPEDIC CLINIC

Practice address

108 Medical Center Blvd
Ste 175
Fayetteville, TN 37334-2741

Phone

(931) 438-1100

Fax

(931) 438-7491

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Dwight Nordyke, MD

Title

Physician

Phone

(931) 438-1100

Specialties & licenses 1

Addresses

Other names 1

• LINCOLN MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1497957237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER BLVD",
            "address_2": "LINCOLN MEDICAL CENTER",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "STE 175",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-438-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Medical Center
• Lincoln Medical Center Ambulance Service
• Lincoln Medical Center Cardiology Clinic
• Lincoln Medical Center Hospitalist
• Lincoln Medical Center OBGYN Clinic
• Lincoln Medical Center Orthopedic Clinic
• Lincoln Medical Center Surgical Clinic
• Lincoln Medical Group
• Lincoln Medical Home Health & Hospice
• Lincoln Medical Home Health & Hospice

• Orthopaedic Surgery Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.