Middle Tennessee Orthopaedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD29374 Issued in TN

Legal business name

MIDDLE TENNESSEE ORTHOPAEDICS PC

Practice address

300 Steam Plant Rd
Ste 420
Gallatin, TN 37066-3032

Phone

(615) 264-2600

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert P Fogolin, MD

Title

President

Phone

(615) 264-2600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Middle TN Orthopaedics, PC Doing business as

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1801993316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "STE 226B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "37075",
            "telephone_number": "615-264-2600",
            "fax_number": "615-264-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "STE 420",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-264-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "FOGOLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-264-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD29374",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815854",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle TN Orthopaedics, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E. Green
• Katharine Michie, MS OTR/L
• Mid State Medical Group, LLC
• Middle Tennessee Chiropractic P.L.L.C.
• Middle Tennessee Nephrology
• Mandy Lea Middleton
• Erika Mikkelsen, DPT
• James Alan Milbrandt, MS, NCC
• Amber Allgood Miller, M.ED
• Jessica Miller

• Orthopaedic Surgery Physician in Gallatin, TN
• Providers in Gallatin, 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 Mar 10, 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.