SOUTHERN SPORTS MEDICINE PORTLAND
NPI 1417237728
Specialist in Portland, TN
NPI Status: Active since August 18, 2011
Contact Information
121 VILLAGE DR
STE 102 & 103
PORTLAND, TN
ZIP 37148
Phone: (615) 325-1180
Fax: (615) 452-2668
- Organization
- Specialist
About SOUTHERN SPORTS MEDICINE PORTLAND
This page provides the complete NPI Profile along with additional information for Southern Sports Medicine Portland, a provider established in Portland, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1417237728 assigned on August 2011. The practitioner's primary taxonomy code is 174400000X with license number MD0000026910 (TN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Thomas L Gautsch M.d. (Owner)
- NPI
- 1417237728
- Provider Name
- SOUTHERN SPORTS MEDICINE PORTLAND
- Entity Type
- Organization
- Location Address
- 121 VILLAGE DR STE 102 & 103 PORTLAND, TN 37148
- Location Phone
- (615) 325-1180
- Location Fax
- (615) 452-2668
- Mailing Address
- 570 HARTSVILLE PIKE GALLATIN, TN 37066
- Mailing Phone
- (615) 452-3320
- Mailing Fax
- (615) 452-2668
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-18-2011
- Last Update Date
- 08-18-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD0000026910
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 2 | 3 | 7 | 7 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 4 | 3 | 14 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 4 + 3 + 1 + 4 + 7 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1417237728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023057650 | KELLY AMYX MSOT Individual | Occupational Therapist | 121 VILLAGE DR SUITE 103 PORTLAND, TN 37148 (615) 323-7575 |
| 1770523748 | JASON A BRUNS BSPT Individual | Physical Therapist | 121 VILLAGE DR 103 PORTLAND, TN 37148 (615) 323-7575 |
| 1487842639 | MR. TREVOR BENJAMIN BRANDT DPT Individual | Physical Therapist | 121 VILLAGE DR SUITE 103 PORTLAND, TN 37148 (615) 323-7575 |
| 1801046586 | ANDREA REED NP Individual | Nurse Practitioner | 121 VILLAGE DR SUITE 101 PORTLAND, TN 37148 (615) 325-2226 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417237728, enumerated in the NPI registry as an "organization" on August 18, 2011
The provider is located at 121 Village Dr Ste 102 & 103 Portland, Tn 37148 and the phone number is (615) 325-1180
This medical organization specializes in Specialist with taxonomy code 174400000X
This NPI record was last updated on August 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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