NPIMap

Organization Active NPI

Orthotennessee, PC

Doing business as Orthopaedic Surgeons of Oak Ridge

  • Orthopaedic Surgery Physician
  • Clinton, TN
National Provider Identifier
1932290798
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOTENNESSEE, PC
Doing business as
Orthopaedic Surgeons of Oak Ridge
Practice address
2130 N Charles G Seivers Blvd
Clinton, TN 37716-6705
Phone
(865) 482-9025
Fax
(865) 483-8151
NPI assigned
Sep 27, 2006
Last updated
Sep 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Jon-David Deeson
Title
Ceo
Phone
(865) 769-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2130 N Charles G Seivers Blvd
Clinton, TN 37716-6705

Mailing address

90 Vermont Ave
Suite 300
Oak Ridge, TN 37830-6474
Phone (865) 482-9025

Other identifiers 1

IdentifierTypeStateIssuer
3711777OtherTNMEDICARE ID

Other names 1

  • Orthopaedic Surgeons of Oak Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koc Oak Ridge26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

2130 N Charles G Seivers Blvd
Clinton, TN 37716
Phone (865) 269-4260

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1932290798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "address_2": "SUITE 300",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-9025",
            "fax_number": "865-483-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N CHARLES G SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166705",
            "telephone_number": "865-482-9025",
            "fax_number": "865-483-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTENNESSEE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "DEESON",
        "authorized_official_first_name": "JON-DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-769-4545"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3711777",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Surgeons of Oak Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.