Tennessee Orthopaedic Alliance PA

Organization Active NPI Orthopaedic Surgery Physician · Dickson, TN

NPI 1518445386 · NPPES record last updated Oct 12, 2023

Key facts

NPI
1518445386
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
TENNESSEE ORTHOPAEDIC ALLIANCE PA
Practice address
7103 Ramsey Way
Dickson, TN 37055-1586
Phone
(931) 650-3535
Fax
(615) 297-1449
NPI assigned
Aug 2, 2018
Organization subpart
No

Authorized official

Name
Ashley McSwain
Title
Credentialing Specialist
Phone
(865) 243-8183

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Practitioners 359

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 359

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251114000824 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5193625069 Practice locations: Dickson, TN

National Provider Directory

Tax ID family
Tennessee Orthopaedic As (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207X00000X Yes
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

7103 Ramsey Way
Dickson, TN 37055-1586

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other identifiers

IdentifierTypeStateIssuer
3372041MedicaidTN

Other providers in Dickson, TN

All providers in Dickson, TN · Orthopaedic Surgery Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.