Basic Information
| Provider Information | |||||||||
| NPI: | 1306802061 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AREHART | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3340 PLAYERS CLUB PKWY STE 350 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381258949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018441590 | ||||||||
| FaxNumber: | 9018441592 | ||||||||
| Practice Location | |||||||||
| Address1: | 1717 HIGH ST STE 3B | ||||||||
| Address2: | |||||||||
| City: | HOPKINSVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 422406300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708814150 | ||||||||
| FaxNumber: | 2708814154 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 30785 | TN | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 37145 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0000X | 37145 | KY | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0000X | 30785 | TN | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0014X | 30785 | TN | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 208VP0014X | 37145 | KY | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | Q000729 | 05 | TN | MEDICAID | 7100059120 | 05 | KY | MEDICAID | P01790786 | 01 | RAILROAD MCR | OTHER |