Provider Demographics
NPI:1689858201
Name:ENRICH, STEVEN DANIEL (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DANIEL
Last Name:ENRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:3443 DICKERSON PIKE STE 320
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2523
Practice Address - Country:US
Practice Address - Phone:615-988-9787
Practice Address - Fax:615-988-9797
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC129298207Y00000X
TN46178207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1143473OtherUSA MANAGED CARE
TN9082568OtherAETNA
TN1520508Medicaid
432469OtherWINDSOR MEDICARE EXTRA
TN4272091OtherBLUE CROSS/BLUE SHIELD
TN7321503OtherCIGNA
TNP00879259OtherMEDICARE RAILROAD
TN1520508Medicaid
TN103I049220Medicare PIN