DR. MICHAEL CODY SCARBROUGH (NPI# 1114345949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114345949 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CODY SCARBROUGH |
| Credential | MD |
| Practice Address |
55 Humphreys Center Dr Ste 200 Memphis TN 38120 |
| Mailing Address |
55 Humphreys Center Dr Ste 200 Memphis TN 38120-2366 |
| Practice Telephone | 9017470040 |
| Mailing Telephone | 9017470040 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
59501 | TN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2018-01007 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA STATE MEDICAL LICENSURE | 2018-01007 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1514 Jefferson Hwy, New Orleans, LA 701212429 | 5042684006 | |
| 145 Kimel Park Dr, Winston Salem, NC 27103 | 3366593099 | |
| 55 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 9017470040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568497303 | Michael Dean Scarbrough | Anesthesiology | 624 N Yakima Ave, Tacoma, WA 98403-2418 | 2006-07-11 |
| Street Address |
55 HUMPHREYS CENTER DR STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568660553 | Bethany Mays Owen | Internal Medicine | 55 Humphreys Center Dr Ste 200, Pain Clinic Associates, PC, Memphis, TN 38120-2366 | 2007-07-11 |
| 1285289561 | Janessa Steflik | Physician Assistant | 55 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 2019-08-05 |
| 1609331842 | Natalie Annelle Heyen Stafford | Physician Assistant | 55 Humphreys Center Dr Ste 200, Memphis, TN 38120-2366 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699076414 | Lifelinc Interventional Pllc | Anesthesiology | 1331 Union Ave Ste 927, Memphis, TN 38104-7555 | 2010-11-10 |
| 1477616084 | William Hill Moshier | Anesthesiology | 6257 E Shady Grove Rd, Memphis, TN 38120-2642 | 2006-12-18 |
| 1447241021 | Bradley W. Wargo | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2005-11-02 |
| 1639175037 | Phillip Edward Green | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2005-06-22 |
| 1508368820 | Kenneth Paul Spart Jr. | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2018-03-02 |
| 1841662079 | Health One, Pllc | Anesthesiology | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2015-10-27 |
| 1285042028 | Ut Regional One Physicians Inc | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2014-07-24 |
| 1750674222 | Matthew Kangas | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2011-05-17 |
| 1184940405 | Winfred Bernard Abrams Jr. | Anesthesiology | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2010-04-12 |
| 1477754505 | Gipson Specialty Center, Pllc | Anesthesiology | 6005 Park Ave, Suite 400, Memphis, TN 38119-5202 | 2007-05-29 |
| Find all providers in MEMPHIS | ||||
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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.