MEDICARE: STEVEN DANIEL ENRICH MD

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	207Y00000X	Otolaryngology Physician	129298	NC
2	207Y00000X	Otolaryngology Physician	46178	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	432469	OTHER		WINDSOR MEDICARE EXTRA
7	P00879259	OTHER	TN	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1143473	OTHER	TN	USA MANAGED CARE
2	9082568	OTHER	TN	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4272091	OTHER	TN	BLUE CROSS/BLUE SHIELD
6	7321503	OTHER	TN	CIGNA

General Provider Information

NPI Number	:	1689858201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN DANIEL ENRICH MD

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	:	3443 DICKERSON PIKE STE 320
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2523
Country	:	US
Telephone Number	:	615-988-9787
Fax Number	:	615-988-9797

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

Provider Enumeration Date	:	12/18/2007
Last Update Date	:	02/15/2023

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