Dr. William Randolph Fly

MD | Orthopedic Surgery | 41+ years Exp


  
120 Hospital Dr, Suite 250, Jefferson City
Tennessee, 37760-5287

 865-475-4484     865-475-1124Maps & Directions
Dr. William Randolph Fly is a Jefferson City, Tennessee based male orthopedic surgeon with 41 years of experience in Orthopedic Surgery. He completed his graduation from Other in 1983. He is also affiliated with hospitals like Tennova Healthcare-jefferson Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. William Randolph Fly is 15794 for Orthopedic Surgery in Tennessee.
Dr. William Randolph Fly 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 including the patients with musculoskeletal problems which 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. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. William Randolph Fly speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: MD
Experience: 41+ years
Medical School Attended:Other
Graduation Year:1983
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:120 Hospital Dr, Suite 250, Jefferson City,
Tennessee, 37760-5287
Phone:865-475-4484
Fax:865-475-1124

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5496871345
Enrollment ID: I20100928001208
NPI Number: 1063473346
NPI Enumeration Date: 28 Mar, 2006
NPI Last Update On: 20 Jun, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. William Randolph Fly are as mentioned below.
License NumberSpecializationStateStatus
15794Orthopedic Surgery TennesseePrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Tennova Healthcare-jefferson Memorial Hospital (440056)Jefferson city, TNAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. William Randolph Fly is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Orthotennessee, Pc (3476453572)147
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. William Randolph Fly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
P01315239OtherTennesseeRAILROAD MEDICARE
Q001842MedicaidTennessee
2577295OtherCIGNA
200046272OtherGeorgiaRAILROAD MEDICARE
6004897OtherTennesseeBLUECROSS BLUESHIELD
7962437OtherTennesseeAETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 120 Hospital Dr, Suite 250
Jefferson City, Tennessee
Zip: 37760-5287
Phone Number: 865-475-4484
Fax Number: 865-475-1124
Patients can reach Dr. William Randolph Fly at 120 Hospital Dr, Suite 250, Jefferson City, Tennessee or can call to book an appointment on 865-475-4484. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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