| Phillip R. Bowden, M.d.,p.a. | |
|
1417 Monroe Ave Memphis TN 38104-3634 | |
| (901) 272-7200 | |
| (901) 260-5916 |
| Full Name | Phillip R. Bowden, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1417 Monroe Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Seandria F Evans (ADMINISTRATOR) |
| Authorized Official Contact | 9012727200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip R. Bowden, M.d.,p.a. 1417 Monroe Ave Memphis TN 38104-3634 Ph: (901) 272-7200 | Phillip R. Bowden, M.d.,p.a. 1417 Monroe Ave Memphis TN 38104-3634 Ph: (901) 272-7200 |
| NPI Number | 1932216389 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 7315847118 |
|---|---|
| Medicare Enrollment ID | O20040109000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932216389 | NPI | - | NPPES |
| 3709199 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Cameila D Johns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306847918 PECOS PAC ID: 6406816651 Enrollment ID: I20041013000268 |
| Provider Name | Phillip R Bowden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811003635 PECOS PAC ID: 2668372467 Enrollment ID: I20050317000722 |
| Provider Name | Kevin W Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235195553 PECOS PAC ID: 7113960907 Enrollment ID: I20050602000737 |
| Provider Name | Kodwo Kuntu Orleans Lindsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932216439 PECOS PAC ID: 0345273561 Enrollment ID: I20050916000719 |
| Provider Name | Virginia L Kernodle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912087172 PECOS PAC ID: 4789684101 Enrollment ID: I20070109000592 |
| Provider Name | Shuronda King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700091519 PECOS PAC ID: 4385745801 Enrollment ID: I20070726000804 |
| Provider Name | Stella E Nwokeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119118 PECOS PAC ID: 0345319356 Enrollment ID: I20080516000462 |
| Provider Name | Kristen Pembroke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770758450 PECOS PAC ID: 2466524152 Enrollment ID: I20080714000192 |
| Provider Name | Daphne B Beech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013079490 PECOS PAC ID: 1759371511 Enrollment ID: I20090217000692 |
| Provider Name | Teddy Winney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053544916 PECOS PAC ID: 5193861466 Enrollment ID: I20090930000565 |
| Provider Name | Sharon K Lucus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174581102 PECOS PAC ID: 6002943149 Enrollment ID: I20100422000294 |
| Provider Name | Lanny Coker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811954514 PECOS PAC ID: 9931239985 Enrollment ID: I20100617000510 |
| Provider Name | Vincent Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184682270 PECOS PAC ID: 8921013954 Enrollment ID: I20101006000429 |
| Provider Name | Ashley N Callonas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497043624 PECOS PAC ID: 1557530375 Enrollment ID: I20110812000398 |
| Provider Name | Kathleen Weiman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003943945 PECOS PAC ID: 8022078260 Enrollment ID: I20111216000150 |
| Provider Name | Vickie M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338086 PECOS PAC ID: 2668632811 Enrollment ID: I20120326000184 |
| Provider Name | Grace L Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710258751 PECOS PAC ID: 1355503418 Enrollment ID: I20120507000520 |
| Provider Name | Richard L Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730158833 PECOS PAC ID: 8426218793 Enrollment ID: I20120727000534 |
| Provider Name | Janet Renee Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639433816 PECOS PAC ID: 7113177825 Enrollment ID: I20121015000451 |
| Provider Name | Sheryl Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148572 PECOS PAC ID: 9830341213 Enrollment ID: I20121211000219 |
| Provider Name | Ian Trevor Gaillard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912112632 PECOS PAC ID: 9830369685 Enrollment ID: I20130314000391 |
| Provider Name | Bryan Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376813949 PECOS PAC ID: 6204097892 Enrollment ID: I20141007000534 |
| Provider Name | Andi Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174893598 PECOS PAC ID: 7719148311 Enrollment ID: I20141009000374 |
| Provider Name | Laura N Billingsley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245646314 PECOS PAC ID: 4789806555 Enrollment ID: I20150416002364 |
| Provider Name | Deborah Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821391574 PECOS PAC ID: 5890091367 Enrollment ID: I20160309000970 |
| Provider Name | Timberlyn M Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551850 PECOS PAC ID: 1153602040 Enrollment ID: I20170109001860 |
| Provider Name | Brandy Shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073965141 PECOS PAC ID: 0648537878 Enrollment ID: I20171127001272 |
| Provider Name | Thomas Peter Gransinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780942862 PECOS PAC ID: 9537315429 Enrollment ID: I20181116001885 |
| Provider Name | Lora M Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336607720 PECOS PAC ID: 7416289715 Enrollment ID: I20191105001815 |
| Provider Name | Mario Dewayne Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396261905 PECOS PAC ID: 1759647886 Enrollment ID: I20191113000484 |
| Provider Name | Candace Renee Hightower-parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295358695 PECOS PAC ID: 0446662977 Enrollment ID: I20201207002421 |
| Provider Name | Jasmine S Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427718022 PECOS PAC ID: 3072906262 Enrollment ID: I20220211000129 |
| Provider Name | Judy Dolce Lilavois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649912395 PECOS PAC ID: 9234513938 Enrollment ID: I20220830001569 |
| Provider Name | Latorya White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215661467 PECOS PAC ID: 1658532684 Enrollment ID: I20231004002229 |
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