Summit Bone & Joint, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD0000031901 Issued in TN

Legal business name

SUMMIT BONE & JOINT, PLLC

Practice address

5653 Frist Blvd
Suite 731
Hermitage, TN 37076

Phone

(615) 232-3838

Fax

(615) 232-3833

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Ladouceur, MDNPI 1598753758

Title

General Manager

Phone

(615) 232-3838

Specialties & licenses 2

Addresses

Other identifiers 8

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Ladouceur, M.D.

  • Orthopaedic Surgery Physician
  • Hermitage, TN
  • NPI 1598753758
  NPD (past) Authorized official
• Anne Louise Beal, MSPT

  • Physical Therapist
  • Hermitage, TN
  • NPI 1851495121
  NPD (past)
• Margaret Lynn Samolis, PT

  • Physical Therapist
  • Franklin, TN
  • NPI 1790791754
  NPD (past)
• Todd A Warren, N.P., ATC

  • Nurse Practitioner
  • Nolensville, TN
  • NPI 1518955699
  NPD (past)
• Martin Philip Gagliardi, M.D.,F.A.C.S.

  • Specialist
  • Hauppauge, NY
  • NPI 1649262650

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1891783981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 306020",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306020",
            "telephone_number": "615-232-3838",
            "fax_number": "615-232-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 731",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-232-3838",
            "fax_number": "615-232-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BONE & JOINT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "LADOUCEUR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "615-232-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD0000031901",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "MD0000031901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2638088",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4023754",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506501",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "2000043639",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0940372",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO-POS",
            "identifier": "0516031005",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "0516031006",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5282039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Strimaitis
• Madelyn Christine Hayes Stuff, APRN
• Adamilka Suarez-Blash, LMSW
• Krystal Sudberry
• Jayda Summers
• Summit Eye Associates Optical LLC
• Summit Eye Associates P C
• Summit Family Dental PLLC
• Summit Health & Rehab Services, Inc (Belvedere Commons of Hermitage)
• Summit Medical Associates PC

• Orthopaedic Surgery Physician in Hermitage, TN
• Providers in Hermitage, 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 2, 2009; 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.