| Joseph Michael Sudderth, | |
|
6019 Walnut Grove Rd, Memphis, TN 38120-2113 | |
| (901) 226-5000 | |
| Not Available |
| Full Name | Joseph Michael Sudderth |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 6019 Walnut Grove Rd, 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 |
|---|---|---|---|
| 1619483658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 901521 (Mississippi) | Secondary |
| 163W00000X | Registered Nurse | 217268 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Entity Name | Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831520691 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001658 |
| Entity Name | Best Vein Care Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104323534 PECOS PAC ID: 4587928254 Enrollment ID: O20180504000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Michael Sudderth, 34 Franwood Cv, Jackson, TN 38301-3314 Ph: (601) 500-2188 | Joseph Michael Sudderth, 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-5000 |
Miss Deborah Gerise Kartheiser, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Mr. Kenneth M Harshman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4041 Knight Arnold Rd, Memphis, TN 38118 Phone: 901-821-5841 Fax: 901-821-5662 | |
Marian Madolyn Stott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6084 Apple Tree Dr, Memphis, TN 38115 Phone: 901-207-4804 Fax: 901-255-0758 | |
Courtney Denise Flowers, APRN,FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-369-8530 | |
Cameka Shanta Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Carmella Rose Guy, R.N., MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 427 Linden Ave, Memphis, TN 38126 Phone: 901-577-0200 | |
Muriel Curry Rice, WHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2430 Poplar Ave, Suite 100, Memphis, TN 38112 Phone: 901-725-1717 Fax: 901-725-3030 |