Tennessee Foot & Ankle Surgeons Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM379 Issued in TN

Legal business name

TENNESSEE FOOT & ANKLE SURGEONS INC

Practice address

320 S Main St
Crossville, TN 38555-4838

Phone

(931) 787-1170

Fax

(931) 787-1370

NPI assigned

Apr 26, 2008

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David E Haverly, DPMNPI 1578585139

Title

Ceo

Phone

(931) 787-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David E Haverly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crossville, TN
  • NPI 1578585139
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1821263245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554838",
            "telephone_number": "931-787-1170",
            "fax_number": "931-787-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554838",
            "telephone_number": "931-787-1170",
            "fax_number": "931-787-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FOOT & ANKLE SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-26",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-787-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351747",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lobb Szarka, M.A., BCBA
• Makenzie Brooke Tabor, MSN, APRN, WHNP-BC
• Donald R Taylor, CRN
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #04479)
• Tennessee Dental Professionals, PC (Dental Care of Crossville)
• Tennessee Health Connection Network, Inc
• Tennessee Limb and Brace LLC
• Tennessee Orthopaedic Alliance PA (Tennessee Orthopaedic Clinics a Division of Toa)
• Tennessee Physician Consultants, PC
• Tennessee Plateau Oncology PLLC

• Foot & Ankle Surgery Podiatrist in Crossville, TN
• Providers in Crossville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.