Summit Bone & Joint, Pllc
Summit Bone & Joint, Pllc is a healthcare organization registered as Orthopaedic Surgery Physician in Hermitage, TN, holding Type 2 (organization) NPI 1891783981 since 2005. The authorized official on file is Michael Ladouceur, General Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891783981 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Summit Bone & Joint, Pllc |
| Practice address | 5653 FRIST BLVD, SUITE 731, Hermitage, TN, 37076 |
| Phone | 6152323838 |
| Fax | 6152323833 |
| Enumeration date | 2005-10-12 |
| Last updated in NPPES | 2009-03-02 |
Authorized official
| Name | Michael Ladouceur |
|---|---|
| Title | General Manager |
| Phone | 6152323838 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | Secondary | MD0000031901 | TN |
| 207X00000X | Orthopaedic Surgery Physician | Primary | MD0000031901 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2638088 | Other | TN | AETNA HMO |
| 4023754 | Other | TN | BCBS |
| 1506501 | Medicaid | TN | — |
| 2000043639 | Other | TN | RAILROAD MEDICARE |
| 0940372 | Other | TN | UNITED HEALTHCARE |
| 0516031005 | Other | TN | CIGNA HMO-POS |
| 0516031006 | Other | TN | CIGNA PPO |
| 5282039 | Other | TN | AETNA PPO |
Copy-ready billing details
Provider: Summit Bone & Joint, Pllc NPI: 1891783981 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 5653 FRIST BLVD, SUITE 731, Hermitage, TN, 37076
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164425203 | Cathy Deppen | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1528061629 | Rhonda Halcomb | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1689677767 | Lisa Jabusch | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1316940471 | Carol Mccullough | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1801899729 | Linda Mcmillan | Individual | Family Nurse Practitioner | Hermitage, TN |
| 1427055326 | Donald Lazas | Individual | Specialist | Hermitage, TN |
| 1720086317 | Sue Lee | Individual | Specialist | Hermitage, TN |
| 1245223148 | Stephen Tench | Individual | Psychologist | Hermitage, TN |
Verify this record
Cross-check NPI 1891783981 against the authoritative CMS record: view Summit Bone & Joint, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Summit Bone & Joint, Pllc?
What is the NPI number for Summit Bone & Joint, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-03-02.