Healthcare Provider Details

I. General information

NPI: 1073579272
Provider Name (Legal Business Name): NASHVILLE ORTHOPAEDIC SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 24TH AVE N SUITE 200
NASHVILLE TN
37203-1514
US

IV. Provider business mailing address

356 24TH AVE N SUITE 200
NASHVILLE TN
37203-1514
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-2225
  • Fax: 615-329-3242
Mailing address:
  • Phone: 615-329-2225
  • Fax: 615-329-3242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number36613
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34209
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number40034
License Number StateTN

VIII. Authorized Official

Name: DR. JOHN MICHAEL KIOSCHOS JR.
Title or Position: MD PRESIDENT
Credential: MD
Phone: 615-329-2225