| Jonathan C Shaver, MD | |
|
576 Fort Loudoun Medical Center Dr Ste 100, Lenoir City, TN 37772-5676 | |
| (865) 988-8667 | |
| (865) 988-8837 |
| Full Name | Jonathan C Shaver |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 576 Fort Loudoun Medical Center Dr Ste 100, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689680118 | NPI | - | NPPES |
| 1515014 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 44482 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Blount Memorial Hospital | Maryville, TN | Hospital |
| University Of Tn Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Physical Therapy Llc Halls | 1355416306 | 191 |
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Tennessee Orthopaedic Alliance Pa | 5193625069 | 304 |
| Entity Name | Tennessee Orthopaedic Clinics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851446017 PECOS PAC ID: 1456263771 Enrollment ID: O20031104000452 |
| Entity Name | Tennessee Orthopaedic Alliance Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Shaver, MD Po Box 306556, Nashville, TN 37230-6556 Ph: (865) 243-8153 | Jonathan C Shaver, MD 576 Fort Loudoun Medical Center Dr Ste 100, Lenoir City, TN 37772-5676 Ph: (865) 988-8667 |
Dr. Donald M Sandercock Ii, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Town Creek Rd E Ste 101, Lenoir City, TN 37772 Phone: 865-271-6160 Fax: 865-374-1090 | |
Dr. Andrew James Maclellan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 460 Medical Park Dr, Suite 104, Lenoir City, TN 37772 Phone: 865-986-7737 Fax: 865-986-7807 |