Basic Information
| Provider Information | |||||||||
| NPI: | 1669449658 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POSMAN | ||||||||
| FirstName: | CLIFFORD | ||||||||
| MiddleName: | LEWIS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 90 VERMONT AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | OAK RIDGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378306474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8654812541 | ||||||||
| FaxNumber: | 8654838151 | ||||||||
| Practice Location | |||||||||
| Address1: | 90 VERMONT AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | OAK RIDGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378306474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8654812541 | ||||||||
| FaxNumber: | 8654838151 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 07/12/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD17008 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | TN0157 | 01 | TN | JOHN DEERE HEALTHCARE | OTHER | TN0187 | 01 | TN | JOHN DEERE HEALTHCARE | OTHER | 100010039 | 01 | TN | TENNCARE | OTHER | 4034768 | 01 | TN | AETNA | OTHER | 200030078 | 01 | TN | RAILROAD MEDICARE | OTHER | 3019362 | 05 | TN | MEDICAID | 3071419 | 01 | TN | BLUE CROSS BLUE SHIELD | OTHER | 293338 | 01 | TN | UNITED HEALTH CARE | OTHER |