Unknown Individual – Orthopaedic Surgery Physician, NPI 1023516309
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1111 Crater Lake Ave
Medford, OR 975046241
Phone: (615) 386-0064
Fax: (615) 386-0067
Type: Location
Woodmont Boulevard, Nashville, Davidson County, Tennessee, 37204, United States
NASHVILLE, TN 372052216
Phone: (615) 386-0064
Fax: (615) 386-0067
Type: Mailing
Williams Highway, Grants Pass, Josephine County, Oregon, 97506, United States
GRANTS PASS, OR 975275856
Phone: (615) 386-0064
Fax: (615) 386-0067
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97504)
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