Healthcare Provider Details

I. General information

NPI: 1942391867
Provider Name (Legal Business Name): ORTHOTENNESSEE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 DANNAHER DR
POWELL TN
37849-4039
US

IV. Provider business mailing address

256 FORT SANDERS WEST BLVD STE 200
KNOXVILLE TN
37922-3355
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-4400
  • Fax:
Mailing address:
  • Phone: 865-934-3329
  • Fax: 865-769-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PIERCE D PEARSON
Title or Position: CEO
Credential:
Phone: 865-769-4502