The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.

Jonathon Srour, D.P.M.
Very professional, caring, kind and helpful. Thank you Dr Srour for making time to see us and to advise us how to care for the healing fracture.
Jacob Olson, PA-C
He is so helpful and understanding. We have always like Jacob
Jonathon Srour, D.P.M.
You are a great doctor.thank you for all that you did
Zsachlayne Roguska, PA
Very kind, listened and explained everything!
Zsachlayne Roguska, PA
Excellent
Michael Pahl, M.D.
He’s very patient with my questions!
Michael Pahl, M.D.
Great physician helpful with unfo on my knee
Walter Jermakowicz, M.D.
The surgery he performed on my back in July has been life changing. I can walk, workout, and have mobility. He's the best and highly recommend him and his staff.
Shawn Stachler, D.O.
Saw PA, gave me shots and did a great job. Pleasant personality.
Shawn Stachler, D.O.
He explains very well!