TUSCULUM UNIVERSITY
NPI 1033711726
Orthopaedic Surgery in Greeneville, TN

NPI Status: Active since November 09, 2020

Contact Information

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745
Phone: (972) 367-4845

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 44D2014687
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-04-2027

About TUSCULUM UNIVERSITY

This page provides the complete NPI Profile along with additional information for Tusculum University, a provider established in Greeneville, Tennessee operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1033711726 assigned on November 2020. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Tusculum University operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mouzon Bass Iii (Administrator/agent)

NPI
1033711726
Provider Name
TUSCULUM UNIVERSITY
Entity Type
Organization
Location Address
60 SHILOH RD GREENEVILLE, TN 37745
Location Phone
(972) 367-4845
Mailing Address
5050 SPRING VALLEY RD DALLAS, TX 75244
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2020
Last Update Date
11-09-2020
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOUZON BASS III

Authorized Official Title
ADMINISTRATOR/AGENT
Authorized Official Phone
(972) 367-4845

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2014687
Facility Type
Physician Office
Certificate Effective Date
March 05, 2025
Certificate Expiration Date
March 04, 2027
Laboratory Director
DR. KENNETH NICKLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tusculum University to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TUSCULUM UNIVERSITY

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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.
1033711726
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063141274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 1 + 2 + 7 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033711726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

SARAH COX BROOKS ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7317

MICHAEL BRIAN HAWKINS MS, ACI, ATC, LAT

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7317

MS. AMY ELIZABETH BROOKS ATC, LAT

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-5729

JANA TEAGUE ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(937) 974-3258

MR. THOMAS MICHAEL STUEBER ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7300

GRACE ANN ROSE ARTHUR

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7000

JALESA PERKINS

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7317

MIRIAH ELIZABETH MARTIN

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7301

MR. STEPHEN TYLER SMITH

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(865) 256-3088

ALLYSON RINES

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7300

KELLI MCCALLA

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(512) 748-8260

HALEY MORGAN GLENN

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(865) 292-5382

HOLLY BROOKE HALL

Student in an Organized Health Care Education/Training Program

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7300

LAURA MISTER ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 636-7312

MCKINLAY BRYANT ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
TUSCULUM, TN
ZIP 37745

(803) 207-0556

DEVIN UNDERHILL ATC

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(517) 812-7007

AMANDA LEIGH ANN PIPES FNP-C

Nurse Practitioner

(Family)

60 SHILOH RD
TUSCULUM, TN
ZIP 37745

(423) 636-7300

KAITLYN DIDDLE

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
GREENEVILLE, TN
ZIP 37745

(423) 741-6199

KAITLYN ALYSSA CROEKER MS, LAT, ATC, CES

Specialist/Technologist

(Athletic Trainer)

60 SHILOH RD
TUSCULUM, TN
ZIP 37745

(262) 948-9867

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033711726, enumerated as an "organization" on November 09, 2020.

The provider is located at 60 SHILOH RD GREENEVILLE, TN 37745 and the phone number is (972) 367-4845.

Orthopaedic Surgery with taxonomy code 207X00000X.