Healthcare Provider Details

I. General information

NPI: 1932254430
Provider Name (Legal Business Name): TENNESSEE ORTHOPAEDIC CLINICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 OAK RIDGE TPKE SUITE 100
OAK RIDGE TN
37830-6930
US

IV. Provider business mailing address

PO BOX 32569
KNOXVILLE TN
37930-2569
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-8478
  • Fax: 865-483-4194
Mailing address:
  • Phone: 865-694-7725
  • Fax: 865-694-7907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateTN

VIII. Authorized Official

Name: ZENA ANN MCCONNELL
Title or Position: CREDENTIALING
Credential: CPC, CPCO
Phone: 865-694-0062