DUCKWORTH PATHOLOGY GROUP, INC. (NPI# 1043368939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043368939 |
| Entity Type | Organization |
| Organization Name | DUCKWORTH PATHOLOGY GROUP, INC. |
| Practice Address |
1211 Union Ave Suite 300 Memphis TN 38104-6638 |
| Practice Telephone | 9017257555 |
| Practice Fax Number | 9017266085 |
| Mailing Telephone | 9017257555 |
| Mailing Fax Number | 9017266085 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | CHARLES R HANDORF (PRESIDENT) |
| Authorized Official Telephone | 9017257551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154305779 | Duckworth Pathology Group, Inc. | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-12-06 |
| Street Address |
1211 UNION AVE SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679912 | David Kenji Mcgregor | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-06-14 |
| 1487008850 | Charles Theodore Fryberger IIi | Student in an Organized Health Care Education/Training Program | 1211 Union Ave, Suite 510, Memphis, TN 38104-6638 | 2016-04-21 |
| 1639537830 | Vanessa L Armenise | Nurse Practitioner | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2016-02-02 |
| 1659745420 | West Clinic, P.C. | Internal Medicine | 1211 Union Ave, Memphis, TN 38104-6638 | 2015-11-17 |
| 1033595731 | Memphis Pathology Group PC | Pathology | 1211 Union Ave, Suite 875, Memphis, TN 38104-6638 | 2015-08-04 |
| 1922416361 | Aaron Greear | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1104234509 | Matthew Peterson | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1851709281 | Pritha Mony | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1497163257 | Melinda Laughter Carden | Physical Therapist | 1211 Union Ave, Ste 195, Memphis, TN 38104-6638 | 2014-07-24 |
| 1083045553 | Jacquelyn Mcdonald | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2013-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 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.