# STEPHAN ESELGROTH MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831214568
- **Authorized official:** STEPHAN F ESELGROTH MD (OWNER)
- **Authorized official phone:** (423) 316-3614

## Contact information

- **Practice address:** 1013 EXECUTIVE DR., SUITE 102, HIXSON, TN 37343
- **Practice address phone:** (423) 316-3614
- **Mailing address:** 302 NORTHGATE MALL DR., \# 597, HIXSON, TN 37343
- **Mailing address phone:** (423) 316-3614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 05/26/2021