Active NPI
Southeast Tennessee Orthopaedics, Inc
- Orthopaedic Surgery Physician
- Cleveland, TN
National Provider Identifier
1538175336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD15518
- Legal business name
- SOUTHEAST TENNESSEE ORTHOPAEDICS, INC
- Practice address
- 102 Dunhill PL NW
Cleveland, TN 37311-3883 - Phone
- (423) 472-1567
- NPI assigned
- Aug 1, 2006
- 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
- Daniel V. Johnson, M.D.
- Title
- Partner
- Phone
- (423) 472-1567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD15518 | TN | Primary |
Addresses
Primary practice location
102 Dunhill PL NW
Cleveland, TN 37311-3883
Mailing address
102 Dunhill Place NW
Cleveland, TN 37311-3883
Phone (423) 472-1567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083658496 | Other | NPI STONE | |
| 1427094747 | Other | NPI JOHNSON |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Chattanooga, TN
- NPI 1083658496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1538175336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 DUNHILL PLACE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113883",
"telephone_number": "423-472-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DUNHILL PL NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113883",
"telephone_number": "423-472-1567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TENNESSEE ORTHOPAEDICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "423-472-1567",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD15518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI STONE",
"identifier": "1083658496",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI JOHNSON",
"identifier": "1427094747",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
- Janet Elizabeth Snoddy, M.D., MPH
- Brenda A Snowman, MD
- Christopher Myers Snyder, DO
- Savannah Solomon
- Solutions Physical Therapy, PLLC
- Southeast TN Human Resource Agency
- Southeastern Orthotics & Prosthetics, Inc
- Southeastern Orthotics & Prosthetics, Inc.
- Southern Home Care Services, Inc.
- Southern Home Care Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.