MARK C BUGNITZ


Address: 848 Adams Ave, Memphis, TN 38103
Phone: 9012877337

MARK C BUGNITZ (NPI# 1023075249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023075249
Entity Type Individual
Full Name MARK C BUGNITZ
Credential MD
Practice Address 848 Adams Ave
Memphis
TN 38103
Mailing Address Po Box 5135
Memphis
TN 38101-5135
Practice Telephone 9012877337
Mailing Telephone 9012877337
Mailing Fax Number 9012876336
Enumeration Date 2006-05-01
Last Update Date 2018-05-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
18163 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3028713 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1910 Nonconnah Blvd, Suite 120, Memphis, TN 381322113 9014482300 9014486657

Office Location

Street Address 848 ADAMS AVE
City MEMPHIS
State TN
Zip Code 38103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437159126 Barry G Gilmore Emergency Medicine 848 Adams Ave, Memphis, TN 38103-2816 2005-07-26
1942816350 Emily Craven Registered Nurse 848 Adams Ave, Memphis, TN 38103-2816 2020-09-21
1851905475 Sherry Ivy Clinical Nurse Specialist 848 Adams Ave, Memphis, TN 38103-2816 2020-09-01
1841800398 Sarah Phillips Student in an Organized Health Care Education/Training Program 848 Adams Ave, Memphis, TN 38103-2816 2020-08-07
1922617240 Megan Leigh Smith Nurse Practitioner 848 Adams Ave, Memphis, TN 38103-2816 2020-07-23
1235753187 Kelsey Aquadro Mace Occupational Therapist 848 Adams Ave, Memphis, TN 38103-2816 2020-06-05
1669094017 Kelley Little Physical Therapist 848 Adams Ave, Memphis, TN 38103-2816 2020-05-08
1669093571 Amy Claire Petro Speech-Language Pathologist 848 Adams Ave, Memphis, TN 38103-2816 2020-05-01
1285255299 Heather Leann Clabo Occupational Therapist 848 Adams Ave, Memphis, TN 38103-2816 2020-04-30
1922629146 Julie Cleary Dillon Speech-Language Pathologist 848 Adams Ave, Memphis, TN 38103-2816 2020-04-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295266906 Ashlee Christmas Pediatrics 920 Madison Avenue Suite 447, Memphis, TN 38163-3818 2017-03-23
1477893121 Maria Del Pilar Anton Martin Pediatrics 51 N Dunlap St Fl 2, Memphis, TN 38105 2013-02-17
1053670273 Shantaveer Gangu Pediatrics 848 Adams Ave, Memphis, TN 38103-2816 2012-05-08
1568729747 Laurel Jeanette Metzler Pediatrics 848 Adams Ave, Memphis, TN 38103-2816 2012-04-12
1689930653 Sheridan Children's Healthcare Services of Tennessee, PC Pediatrics 6225 Humphreys Blvd, Memphis, TN 38120-2373 2012-04-04
1629367909 Nicholas Paul Morin Pediatrics 848 Adams Ave, Memphis, TN 38103 2011-04-07
1639494040 Asya Agulnik Pediatrics 262 Danny Thomas Pl, Memphis, TN 38105-3678 2010-03-30
1538315304 Samir Hasmukh Shah Pediatrics 1910 Nonconnah Blvd, Ste 120, Memphis, TN 38132-2113 2008-08-13
1265651830 Saad Ghafoor Pediatrics 262 Danny Thomas Pl, Memphis, TN 38105-3678 2007-04-24
1871673202 Nadeem I Shafi Pediatrics 848 Adams Ave, Memphis, TN 38103-2816 2006-10-17
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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