Organization Active NPI

Premier Orthopaedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
National Provider Identifier
1720011042
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000168 Issued in TN
Legal business name
PREMIER ORTHOPAEDIC SURGERY CENTER, LLC
Practice address
394 Harding PL Ste 100
Nashville, TN 37211-3980
Phone
(615) 332-3600
Fax
(615) 332-3630
NPI assigned
Jul 9, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Ms. Gina Throneberry, RN
Title
Administrator
Phone
(615) 332-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000168 TN Primary

Addresses

Primary practice location

394 Harding PL Ste 100
Nashville, TN 37211-3980

Mailing address

394 Harding PL Ste 100
Nashville, TN 37211-3980
Phone (615) 332-3600

Other identifiers 1

IdentifierTypeStateIssuer
4084798OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1720011042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 HARDING PL STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113980",
            "telephone_number": "615-332-3600",
            "fax_number": "615-332-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 HARDING PL STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113980",
            "telephone_number": "615-332-3600",
            "fax_number": "615-332-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "THRONEBERRY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-332-3600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4084798",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.