| Methodist Inpatient Physicians Llc | |
|
1265 Union Ave Memphis TN 38104-3415 | |
| (901) 516-2362 | |
| (901) 516-8254 |
| Full Name | Methodist Inpatient Physicians Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 1265 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Charles Lane (SVP/CFO) |
| Authorized Official Contact | 9014780525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Inpatient Physicians Llc 1211 Union Ave Ste 700 Memphis TN 38104-6600 Ph: () - | Methodist Inpatient Physicians Llc 1265 Union Ave Memphis TN 38104-3415 Ph: (901) 516-2362 |
| NPI Number | 1609850692 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 1254241235 |
|---|---|
| Medicare Enrollment ID | O20050815000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609850692 | NPI | - | NPPES |
| 184882002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Iris Elizabeth Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598769515 PECOS PAC ID: 3375457781 Enrollment ID: I20031118000995 |
| Provider Name | Celeste S Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538185889 PECOS PAC ID: 7911895198 Enrollment ID: I20040309000633 |
| Provider Name | Kerry L Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780776765 PECOS PAC ID: 8325937709 Enrollment ID: I20040312001272 |
| Provider Name | Andrew S Pierce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093715203 PECOS PAC ID: 2264427459 Enrollment ID: I20040416001440 |
| Provider Name | Ahmad H Altabbaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952350233 PECOS PAC ID: 9931186251 Enrollment ID: I20040706000458 |
| Provider Name | Jimmie Mancell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584571 PECOS PAC ID: 6002880911 Enrollment ID: I20040825000461 |
| Provider Name | Corbi D Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306894860 PECOS PAC ID: 5597725358 Enrollment ID: I20041015000452 |
| Provider Name | Terri L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457404154 PECOS PAC ID: 6800858309 Enrollment ID: I20041027000955 |
| Provider Name | Jacquelyn F Stinnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972632362 PECOS PAC ID: 9739129222 Enrollment ID: I20050504000365 |
| Provider Name | Christopher W Sands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831170448 PECOS PAC ID: 0244263465 Enrollment ID: I20050916000734 |
| Provider Name | Poonam L Gutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491090 PECOS PAC ID: 3072503044 Enrollment ID: I20051011000888 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20061201000242 |
| Provider Name | Kathryn J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053331413 PECOS PAC ID: 6901902873 Enrollment ID: I20070509000650 |
| Provider Name | Ehud Ron Kamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366518938 PECOS PAC ID: 4284731522 Enrollment ID: I20070521000386 |
| Provider Name | Simon H Tesfau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891890406 PECOS PAC ID: 2163522202 Enrollment ID: I20070703000200 |
| Provider Name | Raymond R Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457343394 PECOS PAC ID: 4587758958 Enrollment ID: I20070915000166 |
| Provider Name | Lakshmi Krishnamurthi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679500623 PECOS PAC ID: 5597853739 Enrollment ID: I20071121000379 |
| Provider Name | Rachael E Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245456938 PECOS PAC ID: 9537249727 Enrollment ID: I20071228000408 |
| Provider Name | Thomas Eugene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20080529000414 |
| Provider Name | Liesl R Bullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780843854 PECOS PAC ID: 2860569597 Enrollment ID: I20080923000286 |
| Provider Name | Valerian K Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467617076 PECOS PAC ID: 0941360424 Enrollment ID: I20081114000213 |
| Provider Name | Julie A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518099530 PECOS PAC ID: 0244387017 Enrollment ID: I20090414000136 |
| Provider Name | Marilyn M Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023345675 PECOS PAC ID: 6305988924 Enrollment ID: I20100120000592 |
| Provider Name | Tanya R Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073841235 PECOS PAC ID: 9436291408 Enrollment ID: I20100129000034 |
| Provider Name | Oluwatoyin Agbaosi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265675201 PECOS PAC ID: 7810031820 Enrollment ID: I20100215000230 |
| Provider Name | Zulekha Kathawala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013992585 PECOS PAC ID: 3375533946 Enrollment ID: I20101214000098 |
| Provider Name | Monika L Natarajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942253992 PECOS PAC ID: 6103924485 Enrollment ID: I20110208000231 |
| Provider Name | Buckley K Dempsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568653822 PECOS PAC ID: 2769663715 Enrollment ID: I20110223000808 |
| Provider Name | Kimberly R Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992874168 PECOS PAC ID: 0840292421 Enrollment ID: I20110307000722 |
| Provider Name | Jerry Gilless |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639372535 PECOS PAC ID: 3678743762 Enrollment ID: I20110829000250 |
| Provider Name | Tina G Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376835488 PECOS PAC ID: 3173794161 Enrollment ID: I20110923000179 |
| Provider Name | Egunmwendia I Ogbeide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194032706 PECOS PAC ID: 3870766488 Enrollment ID: I20111026000894 |
| Provider Name | Tracie L Augusta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669564845 PECOS PAC ID: 3476727504 Enrollment ID: I20111129000471 |
| Provider Name | Rabia Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275798498 PECOS PAC ID: 1153585666 Enrollment ID: I20120613000695 |
| Provider Name | Joseph M Sturdivant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20120724000296 |
| Provider Name | Michele K Faircloth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124254404 PECOS PAC ID: 4385890441 Enrollment ID: I20120807000076 |
| Provider Name | Latonya Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801010061 PECOS PAC ID: 3870654411 Enrollment ID: I20120919000632 |
| Provider Name | Aneel Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083814040 PECOS PAC ID: 7113173691 Enrollment ID: I20120920000152 |
| Provider Name | Amna A Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598977100 PECOS PAC ID: 9931238151 Enrollment ID: I20121009000451 |
| Provider Name | Caley M Spotts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316109531 PECOS PAC ID: 6800073156 Enrollment ID: I20121024000419 |
| Provider Name | Fatima S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770891152 PECOS PAC ID: 3971755349 Enrollment ID: I20121211000161 |
| Provider Name | Elizabeth M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225334469 PECOS PAC ID: 5698928299 Enrollment ID: I20130110000146 |
| Provider Name | Brockton J Sansing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144413956 PECOS PAC ID: 5698861755 Enrollment ID: I20130205000515 |
| Provider Name | Virginia L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255774261 PECOS PAC ID: 0749428266 Enrollment ID: I20130522000620 |
| Provider Name | Shailesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518127620 PECOS PAC ID: 7113071382 Enrollment ID: I20130812000281 |
| Provider Name | John W Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801868666 PECOS PAC ID: 8224010186 Enrollment ID: I20130813000625 |
| Provider Name | Daniel D Zobell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801020342 PECOS PAC ID: 9234377375 Enrollment ID: I20130821000611 |
| Provider Name | Amara F Elochukwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841507944 PECOS PAC ID: 6800039744 Enrollment ID: I20130826000468 |
| Provider Name | Jillian A Ratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073866562 PECOS PAC ID: 4385887900 Enrollment ID: I20130830000042 |
| Provider Name | Amy Eleanora Mauritson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205153863 PECOS PAC ID: 0345488284 Enrollment ID: I20130830000077 |
| Provider Name | Jaclyn Beaghan Bergeron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639313208 PECOS PAC ID: 7810133568 Enrollment ID: I20130830000115 |
| Provider Name | Elizabeth H Gilless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689816886 PECOS PAC ID: 4789827239 Enrollment ID: I20130830000553 |
| Provider Name | Fnu Kaweeta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033421417 PECOS PAC ID: 0840438826 Enrollment ID: I20130905000016 |
| Provider Name | Arafat Y Melhem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437312725 PECOS PAC ID: 5395970230 Enrollment ID: I20131030000634 |
| Provider Name | Kelinda P Ramsay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518150234 PECOS PAC ID: 6406914993 Enrollment ID: I20140417001982 |
| Provider Name | Robert Wilder Bradsher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891094272 PECOS PAC ID: 4183873409 Enrollment ID: I20140709001669 |
| Provider Name | Lauren Murphy Fulmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992022040 PECOS PAC ID: 6608013941 Enrollment ID: I20140819001454 |
| Provider Name | Estella V Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699096313 PECOS PAC ID: 0648416321 Enrollment ID: I20140910002158 |
| Provider Name | Shayla T Merry-afoakwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922398361 PECOS PAC ID: 8224274048 Enrollment ID: I20140927000359 |
| Provider Name | Osarenren Ogbeide |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952375156 PECOS PAC ID: 7911972443 Enrollment ID: I20141106001860 |
| Provider Name | Brooke N May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235532391 PECOS PAC ID: 5698090025 Enrollment ID: I20150206000667 |
| Provider Name | Cynthia D Bedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023357860 PECOS PAC ID: 8527383850 Enrollment ID: I20150209001867 |
| Provider Name | Tiffani Renae Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992953558 PECOS PAC ID: 8527205442 Enrollment ID: I20150317002004 |
| Provider Name | Deanie E Wade-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356454 PECOS PAC ID: 9032437199 Enrollment ID: I20150421002175 |
| Provider Name | Churchill A Akhigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689884439 PECOS PAC ID: 4688739840 Enrollment ID: I20150428001328 |
| Provider Name | Samira Mujtaba Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427344720 PECOS PAC ID: 2365763471 Enrollment ID: I20150601002815 |
| Provider Name | Catherine M Munn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245599109 PECOS PAC ID: 5395981856 Enrollment ID: I20150721001642 |
| Provider Name | Wesley S Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962769828 PECOS PAC ID: 4688988678 Enrollment ID: I20150804005867 |
| Provider Name | Kelechi U Iwuji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548524861 PECOS PAC ID: 6709190465 Enrollment ID: I20150810000172 |
| Provider Name | Mariam M Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184980872 PECOS PAC ID: 1557678836 Enrollment ID: I20150918001230 |
| Provider Name | James C Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019380 PECOS PAC ID: 6709194509 Enrollment ID: I20150928002429 |
| Provider Name | Suzanne Stevens Warford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679834626 PECOS PAC ID: 3173827532 Enrollment ID: I20160204000745 |
| Provider Name | Maram Mallisho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295093128 PECOS PAC ID: 7416193040 Enrollment ID: I20160606002112 |
| Provider Name | Kimberly T Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469564 PECOS PAC ID: 4587954276 Enrollment ID: I20160608002269 |
| Provider Name | Karen E Andrews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407023864 PECOS PAC ID: 2668764242 Enrollment ID: I20160630001852 |
| Provider Name | Andrew S Olinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932543550 PECOS PAC ID: 4880988898 Enrollment ID: I20160812001310 |
| Provider Name | Alex Jordan Chinn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902241680 PECOS PAC ID: 0345489498 Enrollment ID: I20160830000594 |
| Provider Name | Elizabeth John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922441468 PECOS PAC ID: 2062652654 Enrollment ID: I20160927000432 |
| Provider Name | Angela Arnold-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713191 PECOS PAC ID: 0941588693 Enrollment ID: I20161031002016 |
| Provider Name | Yolanda R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316358690 PECOS PAC ID: 2163725953 Enrollment ID: I20161118001748 |
| Provider Name | Brandi M Calatayud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550888 PECOS PAC ID: 7618259888 Enrollment ID: I20170124000029 |
| Provider Name | Kanchan Karki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710225164 PECOS PAC ID: 3971743980 Enrollment ID: I20170207002136 |
| Provider Name | Meera Reddy Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604044 PECOS PAC ID: 3476857996 Enrollment ID: I20170613002249 |
| Provider Name | Calvin S Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407273378 PECOS PAC ID: 8820365661 Enrollment ID: I20170725001646 |
| Provider Name | Douglas D Thaggard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215347349 PECOS PAC ID: 2264651199 Enrollment ID: I20170801000980 |
| Provider Name | Charles H Fraga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487097002 PECOS PAC ID: 2466691159 Enrollment ID: I20170801001351 |
| Provider Name | Charles Maurice Groeschell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760894976 PECOS PAC ID: 0345462461 Enrollment ID: I20170912003063 |
| Provider Name | Jennifer J Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871835942 PECOS PAC ID: 7113209503 Enrollment ID: I20171020001564 |
| Provider Name | Nikita R Edmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396273496 PECOS PAC ID: 9739455189 Enrollment ID: I20171030002500 |
| Provider Name | Prakash Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659620417 PECOS PAC ID: 2961627088 Enrollment ID: I20171031000831 |
| Provider Name | Margaret C Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205345378 PECOS PAC ID: 9234497637 Enrollment ID: I20171212002165 |
| Provider Name | Sonia S Shivani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891220505 PECOS PAC ID: 8820356918 Enrollment ID: I20171219000938 |
| Provider Name | Anthony Ryan Mattox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558781492 PECOS PAC ID: 3971862764 Enrollment ID: I20180124002731 |
| Provider Name | Sharon T Leasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509480 PECOS PAC ID: 0648534339 Enrollment ID: I20180504000768 |
| Provider Name | Jason W Conway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275953929 PECOS PAC ID: 7719241322 Enrollment ID: I20180508000997 |
| Provider Name | Cathy T Logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770996787 PECOS PAC ID: 7315201944 Enrollment ID: I20180508001587 |
| Provider Name | Ladonna R Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942741889 PECOS PAC ID: 2860747193 Enrollment ID: I20180611000002 |
| Provider Name | Jarad Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891105136 PECOS PAC ID: 4981950045 Enrollment ID: I20180702002840 |
| Provider Name | Aldene Ann Marie Mckenzie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598105231 PECOS PAC ID: 4789810169 Enrollment ID: I20180710001010 |
| Provider Name | Debaroti M Borschel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942399209 PECOS PAC ID: 3870595846 Enrollment ID: I20180712002757 |
| Provider Name | Michael D Koplon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376546150 PECOS PAC ID: 8426109323 Enrollment ID: I20180723000019 |
| Provider Name | Ebony Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629562194 PECOS PAC ID: 2668720020 Enrollment ID: I20180801003952 |
| Provider Name | Ijeoma Ifedili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336412378 PECOS PAC ID: 6406012871 Enrollment ID: I20180803001480 |
| Provider Name | Michael A Womack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699185702 PECOS PAC ID: 1153679139 Enrollment ID: I20180808000384 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396155719 PECOS PAC ID: 7416204367 Enrollment ID: I20180816002692 |
| Provider Name | John Francis Eick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344144 PECOS PAC ID: 5395058614 Enrollment ID: I20180817003045 |
| Provider Name | Srishti Sareen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508246497 PECOS PAC ID: 2466701750 Enrollment ID: I20180820002694 |
| Provider Name | Laurae Danielle Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780079475 PECOS PAC ID: 2567763501 Enrollment ID: I20180921003077 |
| Provider Name | Yasmina Pokharel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942684907 PECOS PAC ID: 0244533479 Enrollment ID: I20181005002594 |
| Provider Name | Michael W Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295259224 PECOS PAC ID: 5799038501 Enrollment ID: I20181024002941 |
| Provider Name | Rebecca M Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013313238 PECOS PAC ID: 9032462353 Enrollment ID: I20181101003417 |
| Provider Name | Amanda R Mcgriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332974 PECOS PAC ID: 7012251671 Enrollment ID: I20181207002069 |
| Provider Name | Joe T Lequerica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386052165 PECOS PAC ID: 1456634195 Enrollment ID: I20181220003423 |
| Provider Name | Rateesha Quintale Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316997 PECOS PAC ID: 9032455316 Enrollment ID: I20190108000242 |
| Provider Name | Bobbie M Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556061 PECOS PAC ID: 5890033989 Enrollment ID: I20190215000385 |
| Provider Name | Alisha Rochelle James-scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050934 PECOS PAC ID: 8527307297 Enrollment ID: I20190225003101 |
| Provider Name | Julia A Conner-mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316191109 PECOS PAC ID: 2769755651 Enrollment ID: I20190517000371 |
| Provider Name | Phillip Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992269674 PECOS PAC ID: 5294069167 Enrollment ID: I20190626002005 |
| Provider Name | Krista J Volberding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477931129 PECOS PAC ID: 4284960089 Enrollment ID: I20190801000603 |
| Provider Name | Sandy Henin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689055808 PECOS PAC ID: 8426348160 Enrollment ID: I20190809001048 |
| Provider Name | Ashley N Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218312 PECOS PAC ID: 3779811559 Enrollment ID: I20190819002333 |
| Provider Name | Anshul Bhalla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407298813 PECOS PAC ID: 5193014132 Enrollment ID: I20190829003260 |
| Provider Name | Kimala L Moseby-fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194205823 PECOS PAC ID: 5890024772 Enrollment ID: I20190903002234 |
| Provider Name | Ankita A Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689120198 PECOS PAC ID: 1658669593 Enrollment ID: I20190905003181 |
| Provider Name | Dennisdhilak Lourdusamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679988869 PECOS PAC ID: 7416286661 Enrollment ID: I20190912002621 |
| Provider Name | Louis George Gamble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821476334 PECOS PAC ID: 4385973585 Enrollment ID: I20190913001107 |
| Provider Name | Sukhdev Khadka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710338876 PECOS PAC ID: 8123357241 Enrollment ID: I20190913002473 |
| Provider Name | Ketul P Vora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891126330 PECOS PAC ID: 0749509347 Enrollment ID: I20191003003710 |
| Provider Name | Amruta Panwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571025 PECOS PAC ID: 2264746049 Enrollment ID: I20191007001882 |
| Provider Name | Alice Chedid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790191856 PECOS PAC ID: 5799054896 Enrollment ID: I20191008004016 |
| Provider Name | Bobbak R Sistani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760844823 PECOS PAC ID: 4587962170 Enrollment ID: I20191031001161 |
| Provider Name | Jo'niece P. Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386290369 PECOS PAC ID: 7214269562 Enrollment ID: I20191106000393 |
| Provider Name | James E. Lagos Saez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972980969 PECOS PAC ID: 7416389655 Enrollment ID: I20191108002925 |
| Provider Name | Ebony L Hazzle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415266 PECOS PAC ID: 2860824703 Enrollment ID: I20191115000272 |
| Provider Name | Teaire Lashase Carmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323410 PECOS PAC ID: 6406288984 Enrollment ID: I20191121002334 |
| Provider Name | Charlotte L Halkiades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639573025 PECOS PAC ID: 1052644606 Enrollment ID: I20191125000793 |
| Provider Name | Jules J Munn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700147790 PECOS PAC ID: 9830336643 Enrollment ID: I20191204001891 |
| Provider Name | Taylor Jenkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144617192 PECOS PAC ID: 8729393046 Enrollment ID: I20200106000834 |
| Provider Name | Amanda L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173324 PECOS PAC ID: 0840626214 Enrollment ID: I20200203001242 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20200527001403 |
| Provider Name | Laleh Amini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548642382 PECOS PAC ID: 8628495918 Enrollment ID: I20200901002479 |
| Provider Name | Chuong Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968202 PECOS PAC ID: 7810270956 Enrollment ID: I20200909001754 |
| Provider Name | Rashemia Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144863895 PECOS PAC ID: 0143640581 Enrollment ID: I20201023000643 |
| Provider Name | Zeena Paul Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528350006 PECOS PAC ID: 6901044684 Enrollment ID: I20201221000746 |
| Provider Name | Obinna Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179111 PECOS PAC ID: 1052656006 Enrollment ID: I20210211000610 |
| Provider Name | Dakshin Gangadharamurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005578 PECOS PAC ID: 9133398357 Enrollment ID: I20210331001099 |
| Provider Name | Iliya A Udler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447662861 PECOS PAC ID: 4789962283 Enrollment ID: I20210420001754 |
| Provider Name | Latoya Shantae Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235744525 PECOS PAC ID: 7214346006 Enrollment ID: I20210507000182 |
| Provider Name | Jessica A Lasiowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427516715 PECOS PAC ID: 7012241037 Enrollment ID: I20210601000102 |
| Provider Name | Omar I El-hamarna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407420854 PECOS PAC ID: 1557762572 Enrollment ID: I20210629001052 |
| Provider Name | Prithvi Mavuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073006946 PECOS PAC ID: 9133472202 Enrollment ID: I20210727002065 |
| Provider Name | Jason S Harhay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457858383 PECOS PAC ID: 0345587762 Enrollment ID: I20210802002715 |
| Provider Name | Geeth Sandeep Nadella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023425501 PECOS PAC ID: 4981913613 Enrollment ID: I20210823002054 |
| Provider Name | Anna E Lassiter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710484233 PECOS PAC ID: 8921357005 Enrollment ID: I20210922001957 |
| Provider Name | James Riddell Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821038407 PECOS PAC ID: 0143122127 Enrollment ID: I20210930000769 |
| Provider Name | William Sterling Sessions |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073004883 PECOS PAC ID: 4183960479 Enrollment ID: I20211015001171 |
| Provider Name | Ahmed Minhas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144717232 PECOS PAC ID: 5193114999 Enrollment ID: I20211117001106 |
| Provider Name | Allison Lerii Dallas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484438 PECOS PAC ID: 7618368721 Enrollment ID: I20211228002407 |
| Provider Name | Kayla Bree Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710646054 PECOS PAC ID: 0749672798 Enrollment ID: I20220125000199 |
| Provider Name | Erica Niedbalec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518109438 PECOS PAC ID: 5799932364 Enrollment ID: I20220209000959 |
| Provider Name | April Lagail Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379234 PECOS PAC ID: 6305224601 Enrollment ID: I20220527000079 |
| Provider Name | Robert Decolli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558993279 PECOS PAC ID: 4880022771 Enrollment ID: I20220629003209 |
| Provider Name | Muhammad Junaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629428826 PECOS PAC ID: 6305197674 Enrollment ID: I20220705002445 |
| Provider Name | Rami Sakaan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518529114 PECOS PAC ID: 0840673646 Enrollment ID: I20220811001053 |
| Provider Name | Mohammad Fahad Faisal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336702604 PECOS PAC ID: 8123353828 Enrollment ID: I20220811003312 |
| Provider Name | Anand Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316500341 PECOS PAC ID: 1052796372 Enrollment ID: I20220922000180 |
| Provider Name | Kiara Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053089862 PECOS PAC ID: 1355718511 Enrollment ID: I20221101003304 |
| Provider Name | Andrea L Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467016196 PECOS PAC ID: 0042687022 Enrollment ID: I20221103002158 |
| Provider Name | Daniel Regan Scheurich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20230209001649 |
| Provider Name | Chaitanya Are |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912173766 PECOS PAC ID: 5294913570 Enrollment ID: I20230307002546 |
| Provider Name | Jessica Leigh Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699303222 PECOS PAC ID: 8426472820 Enrollment ID: I20230323001816 |
| Provider Name | April M Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861192932 PECOS PAC ID: 5799150967 Enrollment ID: I20230331002472 |
| Provider Name | Zakeia Williams Obraint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720714793 PECOS PAC ID: 9335504430 Enrollment ID: I20230503002615 |
| Provider Name | Rhonda J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669171088 PECOS PAC ID: 0840657342 Enrollment ID: I20230526001094 |
| Provider Name | Vijay Ananda Raj Alexander Rajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104347947 PECOS PAC ID: 5991126633 Enrollment ID: I20230605001653 |
| Provider Name | Dawit Jowhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376075747 PECOS PAC ID: 6608236443 Enrollment ID: I20230712002288 |
| Provider Name | Omar Ihtashamuddin Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194388710 PECOS PAC ID: 7315320132 Enrollment ID: I20230927003099 |
| Provider Name | Danny Y Ram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053932996 PECOS PAC ID: 5991166274 Enrollment ID: I20231025000610 |
| Provider Name | Eric C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336845262 PECOS PAC ID: 0345696092 Enrollment ID: I20231101000448 |
| Provider Name | Thomas Tyler Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063192961 PECOS PAC ID: 3971959552 Enrollment ID: I20231102002204 |
| Provider Name | Phani Borra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841796505 PECOS PAC ID: 7810245529 Enrollment ID: I20231129000951 |
| Provider Name | Georgia Biunka Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093580896 PECOS PAC ID: 8325497852 Enrollment ID: I20231209000459 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 | |
Eastmoreland Internal Medicine Mpllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Ste 245, Memphis, TN 38104 Phone: 901-729-3700 Fax: 901-729-3750 | |
Muh Weight Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Ave Ste 550, Memphis, TN 38104 Phone: 901-448-6635 Fax: 901-448-5721 |