Provider Demographics
NPI:1467998278
Name:ORTHOPEDIC SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:APYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-803-4975
Mailing Address - Street 1:PO BOX 23431
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37422-3431
Mailing Address - Country:US
Mailing Address - Phone:423-803-4975
Mailing Address - Fax:423-803-4976
Practice Address - Street 1:2339 MCCALLIE AVE
Practice Address - Street 2:SUITE 406 PLAZA II
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3239
Practice Address - Country:US
Practice Address - Phone:423-803-4975
Practice Address - Fax:423-803-4976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13672207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty