Watauga Orthopaedics PLC
NPI 1245251404ActiveOrganization· Orthopaedic Surgery· Johnson City, TN
Orthopaedic Surgery in Johnson City, Tennessee, registered in NPPES in July 2006. The authorized official on file is Katherine Elizabeth Lyons, Credentialing Specialist. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1245251404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2006 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 18545 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | ANP18364 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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