Orthopaedic Center of Greeneville

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25711 Issued in TN

Legal business name

ORTHOPAEDIC CENTER OF GREENEVILLE

Practice address

1406 Tusculum Blvd
Suite 1000
Greeneville, TN 37745-4341

Phone

(423) 787-0767

Fax

(423) 787-0243

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie C Roberts

Title

Office Manager

Phone

(423) 787-0767

Specialties & licenses 2

Addresses

Other identifiers 8

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald M Sandercock II, DO

  • Orthopaedic Surgery Physician
  • Lenoir City, TN
  • NPI 1891776068
  NPD (past)
• Michael Joseph Menz, MD

  • Orthopaedic Surgery Physician
  • Burlington, NC
  • NPI 1598879991
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548347396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1000",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454341",
            "telephone_number": "423-787-0767",
            "fax_number": "423-787-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1000",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454341",
            "telephone_number": "423-787-0767",
            "fax_number": "423-787-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC CENTER OF GREENEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-787-0767"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "1736",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "25711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DONALD M SANDERCOCK",
            "identifier": "1891776068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MICHAEL J MENZ",
            "identifier": "1598879991",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE DONALD M",
            "identifier": "1736",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL J MENZ MEDICAL LI",
            "identifier": "25711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHAEL J MENZ",
            "identifier": "4036256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MICHAEL J MENZ",
            "identifier": "F84775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378742",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DONALD M SANDERCOCK",
            "identifier": "4120705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Olson, ARNP
• Omni Visions, Inc.
• Open Arms Care Corporation
• Open Arms Care Corporation
• Amanda Catron Orlowski, OTR
• Danielle Osborne
• Melissa Ottem
• Jennifer Kaye Ottinger, OTR/L
• James Owens, PHARMD
• Oxy-Care Home Medical Equipment, LLC

• Orthopaedic Surgery Physician in Greeneville, TN
• Providers in Greeneville, 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 Aug 22, 2020; 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.