UT METHODIST PHYSICIANS (NPI# 1073915823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073915823 |
| Entity Type | Organization |
| Organization Name | UT METHODIST PHYSICIANS |
| Practice Address |
1325 Eastmoreland Ave Suite 460 Memphis TN 38104-3519 |
| Practice Telephone | 3124939280 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | SHIRIN MAZUMDER (PHYSICIAN) |
| Authorized Official Telephone | 3124939280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 47374 | TN | Hospitals |
| Street Address |
1325 EASTMORELAND AVE SUITE 460 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255526 | Wendy L Dusenbury | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2005-06-16 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1356793327 | Meredith Alexis Rone | Nurse Practitioner | 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 | 2016-07-01 |
| 1740533595 | Mallory J Hamsher | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 | 2012-10-17 |
| 1538418389 | Shekinah Jaquay Andrews | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2012-09-06 |
| 1750649646 | Rebecca L Reasons | Dietitian, Registered | 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 | 2012-04-27 |
| 1548550320 | Tracrw LLC H | Clinic/Center | 1325 Eastmoreland Ave, Memphis, TN 38104-3519 | 2011-04-13 |
| 1821397902 | Thomas M Middleton Jr. | Counselor | 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 | 2011-03-15 |
| 1730487489 | Randall J Moskovitz, Md | Psychiatry & Neurology | 1325 Eastmoreland Ave, Suite 500, Memphis, TN 38104-3519 | 2011-03-04 |
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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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649443797 | Patricia Cross Hines | General Acute Care Hospital | 5524 Liberty Ridge Cv, Memphis, TN 38125-4262 | 2008-04-09 |
| 1184824245 | University of Tennessee, Memphis | General Acute Care Hospital | 847 Monroe Ave, Memphis, TN 38104 | 2007-07-18 |
| 1437161338 | Alina Frances Jukkola | General Acute Care Hospital | 1427 E Rolling Oaks Dr, Memphis, TN 38119-5930 | 2006-08-12 |
| 1356955579 | Methodist Healthcare East Hospital | General Acute Care Hospital | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1235666793 | University of Tennessee | General Acute Care Hospital | 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 | 2017-05-16 |
| 1891222410 | Methodist Germantown | General Acute Care Hospital | 7691 Poplar Ave, Memphis, TN 38138-3904 | 2017-05-13 |
| 1104352293 | University of Tennessee Health Science Center | General Acute Care Hospital | 910 Madison Ave, Ste 1031, Memphis, TN 38103-3403 | 2017-05-10 |
| 1245694199 | University of Tennessee Health Science Center | General Acute Care Hospital | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2016-04-07 |
| 1922478098 | Methodist Healthcare | General Acute Care Hospital | 1265 Union Ave, Memphis, TN 38104-3415 | 2015-10-01 |
| 1821403932 | University of Tennesse Health Science Center | General Acute Care Hospital | 910 Madison Ave, Memphis, TN 38103-3403 | 2014-06-26 |
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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.