Healthcare Provider Details

I. General information

NPI: 1265861561
Provider Name (Legal Business Name): NEUHAUS FOOT AND ANKLE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 CENTRAL PIKE STE 353
HERMITAGE TN
37076-3422
US

IV. Provider business mailing address

300 STONECREST BLVD STE 350
SMYRNA TN
37167-6860
US

V. Phone/Fax

Practice location:
  • Phone: 615-889-2323
  • Fax: 615-889-2370
Mailing address:
  • Phone: 615-220-8788
  • Fax: 615-220-8688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM609
License Number StateTN

VIII. Authorized Official

Name: MATTHEW D. NEUHAUS
Title or Position: PRESIDENT/PODIATRIST
Credential: DPM
Phone: 615-220-8788