Summit Bone & Joint, Pllc in Hermitage - Sports Medicine
Summit Bone & Joint, Pllc - NPI 1891783981
Summit Bone & Joint, Pllc is a Sports Medicine in Hermitage, Tennessee. Summit Bone & Joint, Pllc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Summit Bone & Joint, Pllc is 1891783981. The last update date is 2009-03-02.
Summit Bone & Joint, Pllc's current location address is 5653 Frist Blvd, Hermitage, Tennessee. You can contact this provider via phone number 6152323838 and fax number 6152323833. The mailing address for Summit Bone & Joint, Pllc is 5653 Frist Blvd, Hermitage, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Bone & Joint, Pllc |
|---|---|
| Address | 5653 Frist Blvd, Hermitage, Tennessee |
| Phone Number | 6152323838 |
| Fax Number | 6152323833 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL MA |
|---|---|
| Authorized Official Name | Ladouceur S. Michael |
| Credentials | MD |
| Telephone Number | 6152323838 |
NPI Number Detail
| NPI Number | 1891783981 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2009-03-02 |
Provider Mailing Address Detail
| Address | 5653 Frist Blvd |
|---|---|
| City | Hermitage |
| State | Tennessee (TN) |
| Post Code | 37076 |
| Phone Number | 6152323838 |
| Fax Number | 6152323833 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD0000031901 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2638088 | TN | AETNA HMO | |
| 4023754 | TN | BCBS | |
| 1506501 | TN | -- | |
| 2000043639 | TN | RAILROAD MEDICARE | |
| 940372 | TN | UNITED HEALTHCARE | |
| 516031005 | TN | CIGNA HMO-POS | |
| 516031006 | TN | CIGNA PPO | |
| 5282039 | TN | AETNA PPO |
Post Comment/ Review Below
What is the unique identification code assigned to Summit Bone & Joint, Pllc by the Centers for Medicare & Medicaid Services?
The Summit Bone & Joint, Pllc has been issued the NPI (National Provider Identifier) 1891783981. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Summit Bone & Joint, Pllc?
The Summit Bone & Joint, Pllc is physically situated at 5653 Frist Blvd, in the city of Hermitage, state of TN, with the postal code 37076.
What is Summit Bone & Joint, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Summit Bone & Joint, Pllc is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891783981 to Summit Bone & Joint, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1891783981 to Summit Bone & Joint, Pllc on 2005-10-12.
As of what date were the details related to Summit Bone & Joint, Pllc most recently updated or revised?
The information pertaining to Summit Bone & Joint, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-02.