| Owen B Tabor Jr, MD | |
|
1244 Primacy Pkwy, Memphis, TN 38119-0201 | |
| (901) 767-8662 | |
| (901) 259-2785 |
| Full Name | Owen B Tabor Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 1244 Primacy Pkwy, Memphis, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346215209 | NPI | - | NPPES |
| 4179728 | Other | TN | BCBS |
| 7468367 | Other | TN | AETNA |
| 620819926 | Other | TN | AETNA |
| 620819926 | Other | TN | CIGNA |
| 31462 | Other | TN | LICENSE |
| 9675413 | Other | TN | CIGNA |
| P00620731 | Other | TN | RAILROAD MEDICARE |
| 00001906041 05 | Other | TN | UNITED HEALTHCARE |
| 3371161 | Medicaid | TN | |
| 2031 | Other | TN | ABOS |
| 3839229 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31462 (Tennessee) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 31462 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital | Memphis, TN | Hospital |
| Saint Francis Bartlett Medical Center | Bartlett, TN | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Msk Group Pc | 4688574262 | 127 |
| Entity Name | Msk Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541409 PECOS PAC ID: 4688574262 Enrollment ID: O20040110000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Owen B Tabor Jr, MD 6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5742 Ph: (901) 725-8347 | Owen B Tabor Jr, MD 1244 Primacy Pkwy, Memphis, TN 38119-0201 Ph: (901) 767-8662 |
David Griffin Brown, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120 Phone: 901-641-3000 Fax: 901-701-2400 | |
Thomas Vincent Giel Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120 Phone: 901-641-3000 Fax: 901-701-2400 | |
Samuel E Murrell Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120 Phone: 901-641-3000 Fax: 901-259-1698 | |
Daniel Truman Fletcher Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave, Sutie 200, Memphis, TN 38120 Phone: 901-641-3000 Fax: 901-701-2400 | |
William Lee Moffatt Iii, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6005 Park Ave, Ste 309, Memphis, TN 38119 Phone: 901-682-5642 Fax: 901-683-5527 | |
Peter Henning, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave Ste 200, Memphis, TN 38120 Phone: 901-259-1600 Fax: 901-259-1698 | |
William Dean Jameson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6286 Briarcrest Ave Ste 200, Memphis, TN 38120 Phone: 901-641-3000 Fax: 901-701-2400 |