MEDICARE: TENNESSEE ORTHOPAEDIC ALLIANCE PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568456986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE ORTHOPAEDIC ALLIANCE PA

Provider Business Mailing Address
First Line	:	PO BOX 306556
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6556
Country	:	US
Telephone Number	:	865-243-8153
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 DICKERSON PIKE STE 480
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2536
Country	:	US
Telephone Number	:	615-323-5686
Fax Number	:	615-263-6505

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	ASHLEY MCSWAIN
Credential	:
Telephone Number	:	865-243-8183

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	10/12/2023

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Directions to “TENNESSEE ORTHOPAEDIC ALLIANCE PA ” Practice Location

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