MEDICARE: MARK B SUPERSTEIN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	246	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5097239	OTHER	TN	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	48499	OTHER	TN	BLUE CROSS

General Provider Information

NPI Number	:	1922009216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK B SUPERSTEIN D.P.M.

Provider Business Mailing Address
First Line	:	108 N SPRING ST
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355-1563
Country	:	US
Telephone Number	:	931-728-3988
Fax Number	:	931-728-6530

Provider Business Practice Location Address
First Line	:	108 N SPRING ST
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355-1563
Country	:	US
Telephone Number	:	931-728-3988
Fax Number	:	931-728-6530

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/07/2008

Similar Medicare Providers

1437306198 — MIDDLE TENNESSEE FOOT ASSOCIATES P C
Practice Location Address:

108 N SPRING ST
MANCHESTER, TN
37355-1563

Practice Phone: 931-728-3988
Practice Fax: 931-728-6530

1649403080 — DR. CRISTI LEE BOULDIN DPM
Practice Location Address:

108 N SPRING ST
MANCHESTER, TN
37355-1563

Practice Phone: 931-728-3988
Practice Fax: 931-728-6530

1316232382 — ERIC B BOULDIN D.P.M.
Practice Location Address:

108 N SPRING ST , MANCHESTER
MANCHESTER, TN
37355-1563

Practice Phone: 931-728-3988
Practice Fax: 931-728-6530

1447564976 — JENNIFER ANN HELM FNP-C
Practice Location Address:

580 MANCHESTER INDUSTRIAL PKWY
MANCHESTER, TN
37355

Practice Phone: 931-538-3404
Practice Fax: 931-233-9988

1821094111 — MRS. ANGELA SITZ PATTERSON APN
Practice Location Address:

2345 MURFREESBORO HWY
MANCHESTER, TN
37355-3206

Practice Phone: 931-728-5607
Practice Fax: 931-728-8354

1609873942 — DR. ROBIN MICHAEL BRADY OD
Practice Location Address:

2180 HILLSBORO BLVD
MANCHESTER, TN
37355-7308

Practice Phone: 931-728-1650
Practice Fax: 931-728-9849

Directions to “ MARK B SUPERSTEIN D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.