Provider Demographics
NPI:1033313945
Name:JON ALAN SIMPSON
Entity Type:Organization
Organization Name:JON ALAN SIMPSON
Other - Org Name:CUMBERLAND ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-484-8861
Mailing Address - Street 1:118 BROWN AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-7739
Mailing Address - Country:US
Mailing Address - Phone:931-484-8861
Mailing Address - Fax:931-456-1319
Practice Address - Street 1:118 BROWN AVE
Practice Address - Street 2:STE 103
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-7739
Practice Address - Country:US
Practice Address - Phone:931-484-8861
Practice Address - Fax:931-456-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3106523OtherBCBS
TN3729283Medicaid
TN3729283Medicare PIN
TN3729283Medicaid