Healthcare Provider Details

I. General information

NPI: 1730371865
Provider Name (Legal Business Name): LECONTE ORTHOPEDICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 FOX MEADOWS BLVD STE 1
SEVIERVILLE TN
37862-6939
US

IV. Provider business mailing address

281 UNDERPASS DR
ONEIDA TN
37841-5885
US

V. Phone/Fax

Practice location:
  • Phone: 865-366-1581
  • Fax: 865-366-1584
Mailing address:
  • Phone: 423-569-5454
  • Fax: 423-569-5858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateTN
# 6
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: KELSIE ARRINGTON
Title or Position: CREDENTIALING
Credential:
Phone: 423-643-2576