MEDICARE: MATTHEW THOMAS SUGALSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD13601	HI
2	207X00000X	Orthopaedic Surgery Physician	MD26225	OR
3	207X00000X	Orthopaedic Surgery Physician	46419	MN
4	207X00000X	Orthopaedic Surgery Physician	53892	KY
5	207X00000X	Orthopaedic Surgery Physician	219380	NY
6	207X00000X	Orthopaedic Surgery Physician	60594	TN

General Provider Information

NPI Number	:	1487657169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW THOMAS SUGALSKI M.D.

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-239-2018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 W BADDOUR PKWY STE A
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2656
Country	:	US
Telephone Number	:	615-730-8626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/03/2025

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