MEDICARE: NASHVILLE ORTHOPAEDIC SPECIALISTS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	34209	TN
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	40034	TN
3	207QS0010X	Sports Medicine (Family Medicine) Physician	36613	TN

General Provider Information

NPI Number	:	1073579272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASHVILLE ORTHOPAEDIC SPECIALISTS PC

Provider Business Mailing Address
First Line	:	356 24TH AVE N
Second Line	:	SUITE 200
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1514
Country	:	US
Telephone Number	:	615-329-2225
Fax Number	:	615-329-3242

Provider Business Practice Location Address
First Line	:	356 24TH AVE N
Second Line	:	SUITE 200
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1514
Country	:	US
Telephone Number	:	615-329-2225
Fax Number	:	615-329-3242

Authorized Official
Title or Position	:	MD PRESIDENT
Name	:	DR. JOHN MICHAEL KIOSCHOS JR.
Credential	:	MD
Telephone Number	:	615-329-2225

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	09/11/2025

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