Tennessee Sports Medicine, Pc

LBN: Tennessee Sports Medicine, Pc
Tennessee Sports Medicine, Pc is an health care organization with primary practice located at 4998 Crossings Cir Ste 200 , Mount Juliet TN 37122-0018. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Tennessee Sports Medicine, Pc can be contacted via phone (615) 553-5000, or through Kaelin, Charles Robert via phone (615) 553-5000.

Contact Information

Primary practice address
4998 Crossings Cir Ste 200 Mount Juliet TN 37122-0018
Phone: (615) 553-5000
Fax: (615) 758-3875
Website:
Map and Directions
Authorized official contact:
Name: Kaelin, Charles Robert Doctor of Medicine (MD)
Phone: (615) 553-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 025086 Tennessee

Profile Details

NPI number 1548571482
LBN Legal business name Tennessee Sports Medicine, Pc
DBA Doing business as
Authorized official Kaelin, Charles Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Jul 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548571482 NPPES
Tennessee MEDICAID 1520487
Tennessee Other 3723564

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