Lincoln Medical Center Orthopedic Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LINCOLN MEDICAL CENTER ORTHOPEDIC CLINIC

Doing business as

Premier Orthopedic Associates

Practice address

108 Medical Center Blvd
Suite 100
Fayetteville, TN 37334-2684

Phone

(931) 433-1102

Fax

(931) 433-0522

NPI assigned

Nov 16, 2010

Last updated

Nov 16, 2010By 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

David R. Groce

Title

Cfo

Phone

(931) 438-1100

Specialties & licenses 1

Addresses

Other names 1

• Premier Orthopedic Associates Doing business as

Locations

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1760783104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-433-1102",
            "fax_number": "931-433-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-433-1102",
            "fax_number": "931-433-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-438-1100"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• Lincoln Medical Center Surgical Clinic
• Lincoln Medical Group
• Lincoln Medical Home Health & Hospice
• Lincoln Medical Home Health & Hospice
• Lincoln Pharmacy Inc

• 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 Nov 16, 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.

Verify at the official NPI Registry.