Basic Information
| Provider Information | |||||||||
| NPI: | 1831181593 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALYERS | ||||||||
| FirstName: | STEVE | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1321 MURFREESBORO RD | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372172626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153668890 | ||||||||
| FaxNumber: | 6153663379 | ||||||||
| Practice Location | |||||||||
| Address1: | 1623 NASHVILLE ST STE AND103 | ||||||||
| Address2: | |||||||||
| City: | RUSSELLVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 422768889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2707254862 | ||||||||
| FaxNumber: | 2707254864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2005 | ||||||||
| LastUpdateDate: | 01/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | 19818 | TN | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery | 207XX0005X | 19818 | TN | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207X00000X | 19818 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 7100332450 | 05 | KY | MEDICAID | 4079543 | 01 | TN | BCBS | OTHER | 3045886 | 05 | TN | MEDICAID |