Ut Methodist Physicians Llc | |
1325 Eastmoreland Ave Ste 310 Memphis TN 38104-7544 | |
(901) 758-7970 | |
(901) 266-6425 |
Full Name | Ut Methodist Physicians Llc |
---|---|
Speciality | Internal Medicine |
Location | 1325 Eastmoreland Ave Ste 310, Memphis, Tennessee |
Authorized Official Name and Position | Larry M Fogarty (VP REVENUE MANAGEMENT) |
Authorized Official Contact | 9015168509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ut Methodist Physicians Llc 1211 Union Ave Ste 700 Memphis TN 38104-6600 Ph: (901) 478-0954 | Ut Methodist Physicians Llc 1325 Eastmoreland Ave Ste 310 Memphis TN 38104-7544 Ph: (901) 758-7970 |
NPI Number | 1427317908 |
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Provider Enumeration Date | 05/03/2012 |
Last Update Date | 09/05/2025 |
Certification Date | 09/05/2025 |
Medicare PECOS PAC ID | 2769623669 |
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Medicare Enrollment ID | O20130718000263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427317908 | NPI | - | NPPES |
Provider Name | Randolph G Potts |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154434413 PECOS PAC ID: 1557350972 Enrollment ID: I20040511000531 |
Provider Name | Jonathan D Rotker |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1073547402 PECOS PAC ID: 5597748103 Enrollment ID: I20040617001331 |
Provider Name | Kodwo Kuntu Orleans Lindsay |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1932216439 PECOS PAC ID: 0345273561 Enrollment ID: I20050916000719 |
Provider Name | Satheesh Padmanabhan Nair |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700822384 PECOS PAC ID: 7214955137 Enrollment ID: I20060725000295 |
Provider Name | Kerry O Cleveland |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1114984911 PECOS PAC ID: 2163429259 Enrollment ID: I20061102000508 |
Provider Name | Bindu Betapudi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720025158 PECOS PAC ID: 3678572302 Enrollment ID: I20061207000025 |
Provider Name | Syed Noman Haider |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1477516524 PECOS PAC ID: 9638121221 Enrollment ID: I20070404000248 |
Provider Name | Jason M Vanatta |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366452484 PECOS PAC ID: 3072546514 Enrollment ID: I20070726000810 |
Provider Name | Catherine J Clarke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528043007 PECOS PAC ID: 2860585197 Enrollment ID: I20070831000675 |
Provider Name | Hafiz A Elahi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689897159 PECOS PAC ID: 9335233519 Enrollment ID: I20070919000210 |
Provider Name | Virginia Weaver |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1396855615 PECOS PAC ID: 6002977899 Enrollment ID: I20081211000814 |
Provider Name | Albert E Weeks |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1336147263 PECOS PAC ID: 1254329584 Enrollment ID: I20091117000498 |
Provider Name | Gregory A Szych |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20100119000298 |
Provider Name | Yaohui Chai |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114140894 PECOS PAC ID: 4880725068 Enrollment ID: I20100702000229 |
Provider Name | Nosratollah Nezakatgoo |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1326004177 PECOS PAC ID: 2365634524 Enrollment ID: I20101006000288 |
Provider Name | Michael S Gelfand |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1982662961 PECOS PAC ID: 4880886993 Enrollment ID: I20101007001013 |
Provider Name | Shirin Mazumder |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1396921623 PECOS PAC ID: 8921132622 Enrollment ID: I20110623000669 |
Provider Name | Shaun Michael Stickley |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1528289808 PECOS PAC ID: 5496910879 Enrollment ID: I20120710000489 |
Provider Name | Paxton V Dickson |
---|---|
Provider Type | Practitioner - Surgical Oncology |
Provider Identifiers | NPI Number: 1609096775 PECOS PAC ID: 9335285345 Enrollment ID: I20120813000850 |
Provider Name | Curtis L Owens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134173024 PECOS PAC ID: 2668620428 Enrollment ID: I20120919000798 |
Provider Name | Manish Talwar |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1457536559 PECOS PAC ID: 2769621572 Enrollment ID: I20130626000520 |
Provider Name | Kaweeta Kumar |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1033421417 PECOS PAC ID: 0840438826 Enrollment ID: I20130905000016 |
Provider Name | John Shelton Nelson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982877973 PECOS PAC ID: 9830332014 Enrollment ID: I20130909000361 |
Provider Name | Nia N Zalamea |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1144459645 PECOS PAC ID: 1456406040 Enrollment ID: I20130926000447 |
Provider Name | Jonathan L Altomar |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306005905 PECOS PAC ID: 1557415965 Enrollment ID: I20131028001876 |
Provider Name | Nisreen Abu Al Hommos |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1831485788 PECOS PAC ID: 2062631666 Enrollment ID: I20140912001936 |
Provider Name | Jason Chang |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1215198056 PECOS PAC ID: 7618196833 Enrollment ID: I20140919000512 |
Provider Name | Julio Lanfranco Molina |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1194956474 PECOS PAC ID: 5193946168 Enrollment ID: I20141016002611 |
Provider Name | Leann Maxwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598184574 PECOS PAC ID: 5799009114 Enrollment ID: I20150113001375 |
Provider Name | Victoria M Swatzell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457544033 PECOS PAC ID: 9335467950 Enrollment ID: I20150410002425 |
Provider Name | Amber Jo Evans |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275769507 PECOS PAC ID: 8426294182 Enrollment ID: I20150625002076 |
Provider Name | Kristin Gaffney |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720241318 PECOS PAC ID: 2163556523 Enrollment ID: I20150828001262 |
Provider Name | Ryan Alexander Helmick |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972792117 PECOS PAC ID: 6901054410 Enrollment ID: I20150921001535 |
Provider Name | Chinelo Animalu |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1881858165 PECOS PAC ID: 0840457867 Enrollment ID: I20150923002043 |
Provider Name | Amy Polumbo Nabors |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861864530 PECOS PAC ID: 7416258892 Enrollment ID: I20151209002482 |
Provider Name | Christina Malone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073983540 PECOS PAC ID: 3375848583 Enrollment ID: I20160226000099 |
Provider Name | Natasha Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275998577 PECOS PAC ID: 7315242278 Enrollment ID: I20160301002594 |
Provider Name | Danielle Barnard |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770809105 PECOS PAC ID: 1456641331 Enrollment ID: I20160606000899 |
Provider Name | Katherine I Nearing |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073807970 PECOS PAC ID: 4789977984 Enrollment ID: I20160726001786 |
Provider Name | Marion B Gillespie |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1255444212 PECOS PAC ID: 2062519200 Enrollment ID: I20160926000403 |
Provider Name | Michelle Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750839122 PECOS PAC ID: 8022306943 Enrollment ID: I20161010001073 |
Provider Name | Hallie Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497204960 PECOS PAC ID: 8022396142 Enrollment ID: I20161025000776 |
Provider Name | Lakesha D Polk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649711508 PECOS PAC ID: 2860764479 Enrollment ID: I20170816004091 |
Provider Name | John P Gleysteen |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1770876344 PECOS PAC ID: 8527203389 Enrollment ID: I20171114000366 |
Provider Name | Vasanthi Balaraman |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1154688851 PECOS PAC ID: 1759669112 Enrollment ID: I20171115001995 |
Provider Name | Mary B Owens |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578788535 PECOS PAC ID: 6901957729 Enrollment ID: I20180427001758 |
Provider Name | Denis Foretia |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487814257 PECOS PAC ID: 8022322544 Enrollment ID: I20180525001766 |
Provider Name | Sondra Deimund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033622832 PECOS PAC ID: 9436405214 Enrollment ID: I20180710000278 |
Provider Name | Balaji Krishnaiah |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1770825283 PECOS PAC ID: 1658652656 Enrollment ID: I20180723001262 |
Provider Name | Nathan M Hinkle |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1164749255 PECOS PAC ID: 7517217748 Enrollment ID: I20180907002351 |
Provider Name | Kenneth I Ataga |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1306886825 PECOS PAC ID: 3375679145 Enrollment ID: I20180925001490 |
Provider Name | Matthew Davis |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710253117 PECOS PAC ID: 5496057358 Enrollment ID: I20181002001492 |
Provider Name | Corey Eymard |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912163320 PECOS PAC ID: 9830328624 Enrollment ID: I20181011000693 |
Provider Name | Vanessa Kendrick |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1568611911 PECOS PAC ID: 1254499320 Enrollment ID: I20181113000150 |
Provider Name | Shehnaz Nansiyani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962985879 PECOS PAC ID: 3971843962 Enrollment ID: I20190329001575 |
Provider Name | Teresa G Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316373038 PECOS PAC ID: 8224267521 Enrollment ID: I20190423002661 |
Provider Name | Lindsay Rebecca Birch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457861478 PECOS PAC ID: 0345500278 Enrollment ID: I20190621002560 |
Provider Name | Abigail C. Tiefel |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1255822078 PECOS PAC ID: 9537495007 Enrollment ID: I20190723001129 |
Provider Name | Kristina Marie Hawk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447757935 PECOS PAC ID: 2365706140 Enrollment ID: I20190822001251 |
Provider Name | Robert Yawn |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1366709164 PECOS PAC ID: 6406159086 Enrollment ID: I20191014001894 |
Provider Name | Lora M Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336607720 PECOS PAC ID: 7416289715 Enrollment ID: I20191105001815 |
Provider Name | Robin Matheny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962043547 PECOS PAC ID: 2365875010 Enrollment ID: I20191210002911 |
Provider Name | Leigh E Daigle |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891016291 PECOS PAC ID: 5890933576 Enrollment ID: I20200218003089 |
Provider Name | Andrea Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871123364 PECOS PAC ID: 8325477359 Enrollment ID: I20200326002089 |
Provider Name | Ashley Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124653340 PECOS PAC ID: 7416387295 Enrollment ID: I20200417002826 |
Provider Name | Randall W Franz |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1053300319 PECOS PAC ID: 2163310608 Enrollment ID: I20200724001489 |
Provider Name | Marquita Nelson |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1174866891 PECOS PAC ID: 7012200512 Enrollment ID: I20200810002950 |
Provider Name | Samuel J Riney |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1619397346 PECOS PAC ID: 8921399627 Enrollment ID: I20200824003664 |
Provider Name | Steve B Otieno |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1932587128 PECOS PAC ID: 6103245568 Enrollment ID: I20201005000146 |
Provider Name | Stephanie Marie Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851906101 PECOS PAC ID: 5799105789 Enrollment ID: I20201013001300 |
Provider Name | Callie Dugard Marzulli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245845247 PECOS PAC ID: 3072933498 Enrollment ID: I20201022003863 |
Provider Name | Anjana Mary Jacob |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942842752 PECOS PAC ID: 7517377831 Enrollment ID: I20201027002908 |
Provider Name | Rana Lynn Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619588043 PECOS PAC ID: 1052721636 Enrollment ID: I20201110003453 |
Provider Name | Melissa Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467069369 PECOS PAC ID: 7416368170 Enrollment ID: I20201201002668 |
Provider Name | Faris Abdul-kadem Al-gebory |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1851421705 PECOS PAC ID: 7416054549 Enrollment ID: I20201208000769 |
Provider Name | Jane S Hankins |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1033115746 PECOS PAC ID: 2163467572 Enrollment ID: I20210503000712 |
Provider Name | Felicia Michelle Dillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467043026 PECOS PAC ID: 6305255563 Enrollment ID: I20210505002725 |
Provider Name | Hui Zhang |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1306086632 PECOS PAC ID: 3072776004 Enrollment ID: I20210514001215 |
Provider Name | Michael Joseph Derickson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1750707261 PECOS PAC ID: 6800117441 Enrollment ID: I20210611001489 |
Provider Name | Pralhad Sharma |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1265847032 PECOS PAC ID: 2567731060 Enrollment ID: I20210622002789 |
Provider Name | Carey Burton Wood |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1386030666 PECOS PAC ID: 8729380878 Enrollment ID: I20210723001111 |
Provider Name | Cristina M Tefel |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1154991446 PECOS PAC ID: 5991109977 Enrollment ID: I20210812003516 |
Provider Name | Kiran Prakash Joglekar |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093120024 PECOS PAC ID: 4688078504 Enrollment ID: I20210813001528 |
Provider Name | Thomas Wilson Faust |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861564304 PECOS PAC ID: 0941210033 Enrollment ID: I20210817001701 |
Provider Name | Kishana R Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881181634 PECOS PAC ID: 4880932383 Enrollment ID: I20210824002800 |
Provider Name | Frederick Jaecklein |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1215343553 PECOS PAC ID: 5294051918 Enrollment ID: I20210921000549 |
Provider Name | Kelvin O Memeh |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1174939441 PECOS PAC ID: 3072811397 Enrollment ID: I20210921003020 |
Provider Name | Anas Eid |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1285908509 PECOS PAC ID: 5799174801 Enrollment ID: I20211111000679 |
Provider Name | Alisia Renee Hindman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255008843 PECOS PAC ID: 4688064140 Enrollment ID: I20211124001378 |
Provider Name | Cheran Elangovan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1124479704 PECOS PAC ID: 9638462013 Enrollment ID: I20220103000432 |
Provider Name | Paul Johnson |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1992062855 PECOS PAC ID: 7012246408 Enrollment ID: I20220301001844 |
Provider Name | Shuja Ahmed |
---|---|
Provider Type | Practitioner - Surgical Oncology |
Provider Identifiers | NPI Number: 1184816829 PECOS PAC ID: 0042468266 Enrollment ID: I20220608001955 |
Provider Name | Aimen Liaqat |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1497106629 PECOS PAC ID: 5395088835 Enrollment ID: I20220630001529 |
Provider Name | Priyanka Jethwani |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1801247481 PECOS PAC ID: 5496040685 Enrollment ID: I20220630001729 |
Provider Name | Justin Hunter |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1154715134 PECOS PAC ID: 6204133150 Enrollment ID: I20220926001061 |
Provider Name | Kiara D Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053089862 PECOS PAC ID: 1355718511 Enrollment ID: I20221101003304 |
Provider Name | Melanie R Crutchfield Whitten |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124377767 PECOS PAC ID: 9537454418 Enrollment ID: I20230531001390 |
Provider Name | Ryland Joy Gore |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1992090401 PECOS PAC ID: 2769780840 Enrollment ID: I20230531001830 |
Provider Name | Matthew G Hogan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1396249777 PECOS PAC ID: 3173870441 Enrollment ID: I20230627002373 |
Provider Name | Rashmi Seth |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598149239 PECOS PAC ID: 9537476403 Enrollment ID: I20230719000393 |
Provider Name | Ronald D Patrick |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1679559728 PECOS PAC ID: 0941282149 Enrollment ID: I20230915001437 |
Provider Name | Adam Charles Cerise |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871904680 PECOS PAC ID: 4880819861 Enrollment ID: I20231010003884 |
Provider Name | Crystal Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851070817 PECOS PAC ID: 6204282478 Enrollment ID: I20231024002281 |
Provider Name | Andy Holley |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1700020005 PECOS PAC ID: 9234360488 Enrollment ID: I20231113001450 |
Provider Name | Arienne Morrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730967274 PECOS PAC ID: 2860840246 Enrollment ID: I20231122003336 |
Provider Name | Kuong Ngann |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1376839167 PECOS PAC ID: 9830321728 Enrollment ID: I20231218000783 |
Provider Name | Antasia Brianna Burrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790550465 PECOS PAC ID: 6103276340 Enrollment ID: I20231229001417 |
Provider Name | Hae Won Shin |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760665327 PECOS PAC ID: 7113190794 Enrollment ID: I20240105003685 |
Provider Name | Ravi Mohanka |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1043415490 PECOS PAC ID: 1850743790 Enrollment ID: I20240117000376 |
Provider Name | Kirsten Gambrell |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730476367 PECOS PAC ID: 6709102882 Enrollment ID: I20240221002976 |
Provider Name | Colin Brown |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1780025114 PECOS PAC ID: 6800253774 Enrollment ID: I20240312002737 |
Provider Name | Nariman Noorbakhsh Sabet |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1699338798 PECOS PAC ID: 5799028932 Enrollment ID: I20240513001849 |
Provider Name | Leon White |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1326432212 PECOS PAC ID: 2163715442 Enrollment ID: I20240513002346 |
Provider Name | David Garcia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265417893 PECOS PAC ID: 0840289005 Enrollment ID: I20240617000926 |
Provider Name | Jeffrey Fletcher |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336252568 PECOS PAC ID: 1850352758 Enrollment ID: I20240812000221 |
Provider Name | Arun Pillai |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20240813000625 |
Provider Name | Mustafa M Omami |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1184127979 PECOS PAC ID: 1355696550 Enrollment ID: I20241012000187 |
Provider Name | Rupendra Swarup |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1568596641 PECOS PAC ID: 2264605690 Enrollment ID: I20241024003421 |
Provider Name | Christopher Aries Adams |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336672476 PECOS PAC ID: 6204221039 Enrollment ID: I20241115000508 |
Provider Name | Vanessa Renee Gibson |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1407053036 PECOS PAC ID: 1153392774 Enrollment ID: I20241115003842 |
Provider Name | Gowtham Roy Lingamaneni |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1891137485 PECOS PAC ID: 4880999143 Enrollment ID: I20241129000001 |
Provider Name | Marc Saunders |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1447430426 PECOS PAC ID: 6608856521 Enrollment ID: I20250107001487 |
Provider Name | Rachel Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295407195 PECOS PAC ID: 5991191678 Enrollment ID: I20250204002130 |
Provider Name | Kristi Myles Poindexter |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1467910794 PECOS PAC ID: 5395275226 Enrollment ID: I20250207001142 |
Provider Name | Mabel Zevallos |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336197649 PECOS PAC ID: 1153337548 Enrollment ID: I20250216000012 |
Provider Name | Ricardo M Mccall |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265413876 PECOS PAC ID: 3375594591 Enrollment ID: I20250217000783 |
Provider Name | John Daymond Mckee |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972503456 PECOS PAC ID: 5395632673 Enrollment ID: I20250218000127 |
Provider Name | Kimberly Zibert |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023300274 PECOS PAC ID: 5698091148 Enrollment ID: I20250304000130 |
Provider Name | Kenneth Sigman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780660142 PECOS PAC ID: 5496821167 Enrollment ID: I20250319000432 |
Provider Name | Michael Gilbert Kennedy |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1265842223 PECOS PAC ID: 2769804905 Enrollment ID: I20250421001161 |
Key Behavior Essentials Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Poplar Ave, 350, Memphis, TN 38112 Phone: 504-491-0774 | |
All Aspects Of Life Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Ledbetter Ave, Memphis, TN 38109 Phone: 901-315-4930 | |
Baptist Memorial Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 Union Extended, Suite 610, Memphis, TN 38112 Phone: 901-458-4000 Fax: 901-458-0048 | |
Helping Hands Community Development Center Of Tennessee Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 Poplar Ave, Memphis, TN 38137 Phone: 404-988-3474 | |
Kershaw Primary Care And Weight Loss, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6005 Park Ave Ste 826b, Memphis, TN 38119 Phone: 901-519-4680 | |
Crossroads Treatment Centers Of Tennessee, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Poplar Ave, Memphis, TN 38112 Phone: 800-805-6989 | |
Up-ward Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2068 Evelyn Ave, Memphis, TN 38104 Phone: 901-308-4762 Fax: 901-234-0221 |