Crossville Orthopaedics & Sports Medicine Pllc in Crossville - Specialist
Crossville Orthopaedics & Sports Medicine Pllc - NPI 1700097417
Crossville Orthopaedics & Sports Medicine Pllc is a Specialist in Crossville, Tennessee. Crossville Orthopaedics & Sports Medicine Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Crossville Orthopaedics & Sports Medicine Pllc is 1700097417. The last update date is 2008-11-23.
Crossville Orthopaedics & Sports Medicine Pllc's current location address is 35 Taylor Ave, Crossville, Tennessee. You can contact this provider via phone number 9314843401 and fax number 9314843405. The mailing address for Crossville Orthopaedics & Sports Medicine Pllc is 35 Taylor Ave, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossville Orthopaedics & Sports Medicine Pllc |
|---|---|
| Address | 35 Taylor Ave, Crossville, Tennessee |
| Phone Number | 9314843401 |
| Fax Number | 9314843405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Garland Tyson Russell |
| Credentials | MD |
| Telephone Number | 9314843401 |
NPI Number Detail
| NPI Number | 1700097417 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2008-11-23 |
Provider Mailing Address Detail
| Address | 35 Taylor Ave |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 385554526 |
| Phone Number | 9314843401 |
| Fax Number | 9314843405 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD37289 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3717972 | TN | -- | |
| 4062795 | TN | BLUE CROSS | |
| P00047359 | TN | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Crossville Orthopaedics & Sports Medicine Pllc?
The Crossville Orthopaedics & Sports Medicine Pllc has been issued the NPI (National Provider Identifier) 1700097417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Crossville Orthopaedics & Sports Medicine Pllc's facilities are situated?
The facilities of Crossville Orthopaedics & Sports Medicine Pllc are physically located at the following address: 35 Taylor Ave, Crossville, TN, 385554526.
What is the area of specialization for Crossville Orthopaedics & Sports Medicine Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Crossville Orthopaedics & Sports Medicine Pllc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700097417 to Crossville Orthopaedics & Sports Medicine Pllc?
The Crossville Orthopaedics & Sports Medicine Pllc received its 1700097417 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information related to Crossville Orthopaedics & Sports Medicine Pllc most recently updated or refreshed?
The details pertaining to the Crossville Orthopaedics & Sports Medicine Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-23.