Provider Demographics
NPI:1083034763
Name:NEUHAUS FOOT AND ANKLE PC
Entity Type:Organization
Organization Name:NEUHAUS FOOT AND ANKLE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:HEIKKINEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-220-8788
Mailing Address - Street 1:300 STONECREST BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6851
Mailing Address - Country:US
Mailing Address - Phone:615-220-8788
Mailing Address - Fax:615-220-8688
Practice Address - Street 1:10644 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8811
Practice Address - Country:US
Practice Address - Phone:615-220-8788
Practice Address - Fax:615-220-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM609213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty