Provider Demographics
NPI:1881062594
Name:UNIVERSITY ORTHOPAEDIC SURGEONS
Entity type:Organization
Organization Name:UNIVERSITY ORTHOPAEDIC SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON-DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DEESON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:865-769-4545
Mailing Address - Street 1:256 FORT SANDERS WEST BLVD
Mailing Address - Street 2:STE. 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-769-4545
Mailing Address - Fax:865-769-4501
Practice Address - Street 1:1130 MIDDLE CREEK RD
Practice Address - Street 2:STE. 270
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3051
Practice Address - Country:US
Practice Address - Phone:865-769-4545
Practice Address - Fax:865-769-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies