Provider Demographics
NPI:1740767805
Name:COMPASSIONATE ORTHOPEDIC CARE PLLC
Entity type:Organization
Organization Name:COMPASSIONATE ORTHOPEDIC CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:315-529-8821
Mailing Address - Street 1:8011 BROOKS CHAPEL RD STE 2552
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3964
Mailing Address - Country:US
Mailing Address - Phone:315-529-8821
Mailing Address - Fax:615-915-4547
Practice Address - Street 1:8011 BROOKS CHAPEL RD
Practice Address - Street 2:STE 2552
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3964
Practice Address - Country:US
Practice Address - Phone:315-529-8821
Practice Address - Fax:615-915-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty