TIMOTHY FLERLAGE (NPI# 1053603811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053603811 |
| Entity Type | Individual |
| Full Name | TIMOTHY FLERLAGE |
| Practice Address |
University of Tennessee 920 Madison Avenue Suite 447 Memphis TN 38163-0001 |
| Practice Telephone | 9012876756 |
| Mailing Telephone | 9012876756 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 53030 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
53030 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 262 Danny Thomas Pl, Memphis, TN 381053678 | 8882264343 |
| Street Address |
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457478521 | Karen Chandler Johnson | Internal Medicine | University of Tennessee, 66 N. Pauline St, Suite 633, Memphis, TN 38163-0001 | 2007-03-23 |
| 1437774585 | Vivek Batra | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2020-06-15 |
| 1659900520 | Lauren Elizabeth Lefler | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2020-04-03 |
| 1932737962 | Allison Arrigoni | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Ave. Suite 447, Memphis, TN 38163 | 2020-03-27 |
| 1982260758 | Mary Elizabeth Butts | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2019-05-16 |
| 1215490784 | David Wayne Cooper | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 | 2019-04-10 |
| 1265922694 | Jeffrey M Mortenson | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue, Suite 447, Memphis, TN 38163 | 2018-05-10 |
| 1861929531 | Paul Molloy | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2017-05-12 |
| 1083140040 | Douglas Rhett Layman | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2017-05-11 |
| 1689101404 | Mary Katherine Hood | Pediatrics | University of Tennessee, 920 Madison Avenue Suite Suite 447, Memphis, TN 38163-0001 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
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| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053666453 | Akinobu Kamei | Pediatrics | 262 Danny Thomas Pl # Ms 320, Memphis, TN 38105-3678 | 2012-07-21 |
| 1770036915 | Sarah Habbal | Pediatrics | 262 Danny Thomas Pl, Mail Stop 320, Memphis, TN 38105-3678 | 2016-07-24 |
| 1093129827 | Diego Raul Hijano | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2014-06-19 |
| 1104173384 | Joshua Wolf | Pediatrics | 262 Danny Thomas Pl, Mailstop 320, Memphis, TN 38105-3678 | 2012-08-07 |
| 1467774844 | Maria Alejandra Carrillo-marquez | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2010-02-25 |
| 1184835837 | Bindiya Bagga | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2007-05-24 |
| 1528283819 | Gabriela Maria Maron | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-04-13 |
| 1770707234 | Isao Miyairi | Pediatrics | 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-04-13 |
| 1972550432 | Patricia Joan Chesney | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-30 |
| 1083671168 | John P Devincenzo | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
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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.