Provider Demographics
NPI:1902994205
Name:NEUHAUS FOOT AND ANKLE, PC
Entity Type:Organization
Organization Name:NEUHAUS FOOT AND ANKLE, PC
Other - Org Name:NEUHAUS FOOT AND ANKLE, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEUHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-220-8788
Mailing Address - Street 1:397 WALLACE RD.
Mailing Address - Street 2:SUITE C-314
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-220-8788
Mailing Address - Fax:615-768-7881
Practice Address - Street 1:397 WALLACE RD.
Practice Address - Street 2:SUITE C-314
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-220-8788
Practice Address - Fax:615-768-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM609174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU92514Medicare UPIN