Rivergate Sports Medicine And Orthopaedic Surgery, P.C.
Specialist in Hendersonville, TN. Organization (NPI-2).
NPI number1083678098
StatusActive
Last updated in NPPESDec 7, 2007
Details
- NPI
- 1083678098
- Entity type
- Organization (NPI-2)
- Legal business name
- Rivergate Sports Medicine And Orthopaedic Surgery, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 14, 2006
- Last updated
- Dec 7, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD0000025005 | TN | Yes |
Practice location
353 New Shackle Island RdSuite 110a
Hendersonville, TN 37075-2379
Phone 615-264-4785 · Fax 615-264-4786
Mailing address
353 New Shackle Island RdSuite 110a
Hendersonville, TN 37075-2379
Phone 615-264-4785 · Fax 615-264-4786
Authorized official
Robert Paul Landsberg
President
6152644785
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