Provider Demographics
NPI:1821037714
Name:AMERICAN ORTHOPEDICS & SPORTS MEDICINE, PLC
Entity Type:Organization
Organization Name:AMERICAN ORTHOPEDICS & SPORTS MEDICINE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-851-2673
Mailing Address - Street 1:740 CONFERENCE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1915
Mailing Address - Country:US
Mailing Address - Phone:615-851-2673
Mailing Address - Fax:615-851-2675
Practice Address - Street 1:740 CONFERENCE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1915
Practice Address - Country:US
Practice Address - Phone:615-851-2673
Practice Address - Fax:615-851-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD38266207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1821037714OtherNPI AMERICAN ORTHOPEDICS
TN1598729493OtherNPI DR. STEVEN LARSON
TNI13605Medicare UPIN
TN5730170001Medicare NSC