MEDICARE: ORTHOTENNESSEE, 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3711777	OTHER	TN	MEDICARE ID

General Provider Information

NPI Number	:	1932290798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTENNESSEE, PC

Provider Business Mailing Address
First Line	:	90 VERMONT AVE
Second Line	:	SUITE 300
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-6474
Country	:	US
Telephone Number	:	865-482-9025
Fax Number	:	865-483-8151

Provider Business Practice Location Address
First Line	:	2130 N CHARLES G SEIVERS BLVD
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6705
Country	:	US
Telephone Number	:	865-482-9025
Fax Number	:	865-483-8151

Authorized Official
Title or Position	:	CEO
Name	:	JON-DAVID DEESON
Credential	:
Telephone Number	:	865-769-4545

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/29/2017

Similar Medicare Providers

1457557134 — EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Practice Location Address:

2130 N CHARLES G SEIVERS BLVD STE 4
CLINTON, TN
37716-6705

Practice Phone: 865-457-4044
Practice Fax: 866-699-4833

1457991713 — ELIZABETH ANN WISHART FNP-BC
Practice Location Address:

2130 N CHARLES G SEIVERS BLVD
CLINTON, TN
37716-6705

Practice Phone: 865-269-4260
Practice Fax:

1780670158 — DR. MELISSA ANNE HOOD MD
Practice Location Address:

2130 N. CHARLES SEIVERS BLVD. , SUITE 4
CLINTON, TN
37716-6705

Practice Phone: 865-457-4044
Practice Fax: 866-699-4833

1477685311 — NICOLE S BEAVERS CPNP
Practice Location Address:

2130 N. CHARLES SEIVERS BLVD , SUITE 4
CLINTON, TN
37716-6705

Practice Phone: 865-457-4044
Practice Fax: 866-699-4833

1700146909 — JESSICA HUTCHISON CROWE M.D.
Practice Location Address:

2130 N CHARLES SEIVERS BOULEVARD , SUITE 4
CLINTON, TN
37716-6705

Practice Phone: 865-457-4044
Practice Fax: 866-699-4833

1326609074 — LAUREN BLAKLEY APRN, FNP-BC
Practice Location Address:

2130 N CHARLES G SEIVERS BLVD STE 3
CLINTON, TN
37716-6705

Practice Phone: 865-264-4319
Practice Fax: 865-269-4556

Directions to “ORTHOTENNESSEE, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.