Provider Demographics
NPI:1639108822
Name:APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Entity Type:Organization
Organization Name:APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Other - Org Name:APPALACHIAN ORTHOPAEDIC ASSOCIATES, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-239-1550
Mailing Address - Street 1:260 MIDWAY MEDICAL PARK
Mailing Address - Street 2:STE 100
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1721
Mailing Address - Country:US
Mailing Address - Phone:423-968-4446
Mailing Address - Fax:423-968-4802
Practice Address - Street 1:260 MIDWAY MEDICAL PARK
Practice Address - Street 2:STE 100
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1721
Practice Address - Country:US
Practice Address - Phone:423-968-4446
Practice Address - Fax:423-968-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710615Medicaid
TNCD1842OtherMEDICARE RAILROAD
TN0443950006Medicare NSC
TNCD1842OtherMEDICARE RAILROAD