Provider Demographics
NPI:1942272026
Name:JEKOT, WILLIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:JEKOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1321 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2626
Mailing Address - Country:US
Mailing Address - Phone:615-366-8890
Mailing Address - Fax:615-366-3379
Practice Address - Street 1:1029 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2450
Practice Address - Country:US
Practice Address - Phone:615-895-4545
Practice Address - Fax:615-895-4548
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12543207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3178938Medicaid
TN4067033OtherBCBS
TN0922510002Medicare PIN
TN3178938Medicaid
TN4067033OtherBCBS
TN3178938Medicare PIN