Basic Information
| Provider Information | |||||||||
| NPI: | 1457982019 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARPETH ORTHO URGENT PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 CROSSINGS CIR STE 101 | ||||||||
| Address2: | |||||||||
| City: | MOUNT JULIET | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371228591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6157581010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5000 CROSSINGS CIR STE 101 | ||||||||
| Address2: | |||||||||
| City: | MOUNT JULIET | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371228591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6157581010 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2020 | ||||||||
| LastUpdateDate: | 02/19/2020 | ||||||||
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| AuthorizedOfficialLastName: | DYE | ||||||||
| AuthorizedOfficialFirstName: | LEIGH | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | REVENUE CYCLE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6157581010 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081S0010X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.