Dr. Stephan F Eselgroth
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
1013 Executive Dr Ste 102
Hixson
, Tennessee 37343-7913
Dr. Stephan F Eselgroth
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
1013 Executive Dr Ste 102
Hixson
, Tennessee 37343-7913
(423) 316-3614
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About
Features
Specialties
- Sports Medicine Doctor
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Stephan F Eselgroth
- 302 Northgate Mall Dr. # 597
- Hixson, TN
- Zip : 37343
- Phone : (423) 316-3614
Second Address
- Dr. Stephan F Eselgroth
- 1013 Executive Dr Ste 102
- Hixson, TN
- Zip : 37343-7913
- Phone : (423) 316-3614
Reviews
FAQs
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What type of doctor is Dr. Stephan F Eselgroth
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Is Dr. Stephan F Eselgroth a sole practitioner?
Is Dr. Stephan F Eselgroth accepting new patients?
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Does Dr. Stephan F Eselgroth have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | MD0000036511 | TN |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 36659 | KY |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD0000036511 | TN |
National Provider Identifier
| NPI | 1912902099 |
|---|---|
| Provider Name | Dr. Stephan F Eselgroth |
| First Address | Hixson, TN 37343 |
| Second Address | Hixson, TN 37343-7913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 26/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 250014020 | RR MEDICARE (01) | TN |
| 36659 | KY MEDICAL LICENSE NUMBER (01) | KY |
| 3879076 | (05) | TN |
| 4051823 | BCBS ID NUMBER (01) | TN |
| H72244 | (02) | |
| MD0000036511 | TN MEDICAL LICENSE NUMBER (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.