WATAUGA ORTHOPAEDICS PLC
NPI 1245251404
Orthopaedic Surgery in Johnson City, TN
NPI Status: Active since July 22, 2006
Contact Information
2410 SUSANNAH ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 282-9011
Fax: (423) 282-0035
- Organization
- Orthopaedic Surgery
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 44D2278828
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-23-2027
About WATAUGA ORTHOPAEDICS PLC
This page provides the complete NPI Profile along with additional information for Watauga Orthopaedics Plc, a provider established in Johnson City, Tennessee operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1245251404 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number 18545 (TN). The provider is registered as an organization and their NPI record was last updated 2 years ago. Watauga Orthopaedics Plc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Katherine Elizabeth Lyons (Credentialing Specialist)
- NPI
- 1245251404
- Provider Name
- WATAUGA ORTHOPAEDICS PLC
- Entity Type
- Organization
- Location Address
- 2410 SUSANNAH ST JOHNSON CITY, TN 37601
- Location Phone
- (423) 282-9011
- Location Fax
- (423) 282-0035
- Mailing Address
- 2410 SUSANNAH ST JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 282-9011
- Mailing Fax
- (423) 282-0035
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 06-26-2024
- Code Navigator
Watauga Orthopaedics Plc is a medicare supplier with PTAN 20669255 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18545
- License State
- TN
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | ANP18364 (TN) |
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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20669255
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel.
- Provider Type List
- PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST.
- Competitive Bidding
- NO
Supplies List
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
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
- 44D2278828
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 24, 2025
- Certificate Expiration Date
- March 23, 2027
- Laboratory Director
- RICHARD W. DUNCAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Watauga Orthopaedics Plc 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245251404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245251404, enumerated as an "organization" on July 22, 2006.
The provider is located at 2410 SUSANNAH ST JOHNSON CITY, TN 37601 and the phone number is (423) 282-9011.
Orthopaedic Surgery with taxonomy code 207X00000X.
