MEMPHIS SPINE CENTER (NPI# 1114953239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114953239 |
| Entity Type | Organization |
| Organization Name | MEMPHIS SPINE CENTER |
| Practice Address |
2120 Exeter Rd Suite 130 Germantown TN 38138-3922 |
| Mailing Address |
2120 Exeter Rd Suite 130 Germantown TN 38138-3900 |
| Practice Telephone | 9015072225 |
| Practice Fax Number | 9015077890 |
| Mailing Telephone | 9015072225 |
| Mailing Fax Number | 9015077890 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MRS. SUSI COOPER (OFFICE MANAGER) |
| Authorized Official Telephone | 9015072225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4092713 | 01 |
| TN | CIGNA GOVERNMENT SERVICES | 5305190001 | 01 |
| Street Address |
2120 EXETER RD SUITE 130 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275058 | Frank A Ognibene | Podiatrist | 2120 Exeter Rd, Ste 220, Germantown, TN 38138-3918 | 2005-06-14 |
| 1922388206 | Seung-jae Texas Song | Podiatrist | 2120 Exeter Rd, Ste 220, Germantown, TN 38138-3964 | 2011-08-18 |
| 1861645392 | Darrell G. Croft, Dpm | Podiatrist | 2120 Exeter Rd, Suite 200, Germantown, TN 38138-3964 | 2008-10-28 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1790975902 | Ognibene Clinics | Podiatrist | 2120 Exeter Rd, Suite 220, Germantown, TN 38138-3964 | 2007-07-25 |
| 1841410370 | Leanna Nikole Simmons | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-26 |
| 1427274711 | Alicia Ann Wass | Speech-Language Pathologist | 2120 Exeter Rd, Suite 110, Germantown, TN 38138-3922 | 2007-04-17 |
| 1679696074 | Susan Gail Black | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-09 |
| 1396862355 | Mary Anne Jenkins | Physical Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-03-23 |
| 1619926508 | Terry Paul Templeton | Otolaryngology | 2120 Exeter Rd, Suite 210, Germantown, TN 38138-3922 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922538164 | Tracey Hardaway | Specialist | 8596 Farmington Blvd Ste 4, Germantown, TN 38139-3345 | 2017-06-19 |
| 1134537061 | Shot Nurse-memphis, P.C. | Specialist | 7596 W Farmington Blvd, Germantown, TN 38138-2809 | 2014-07-23 |
| 1528354883 | Yongxin Chen | Specialist | 8000 Wolf River Blvd., Ste. 200, Germantown, TN 38138 | 2011-06-24 |
| 1225338734 | Lynnette Ellen Hafken | Specialist | 20701 Spinning Wheel Pl, Germantown, MD 20874-2814 | 2010-10-31 |
| 1457580508 | Rheumatology Specialty Clinic Pllc | Specialist | 7660 Poplar Pike, Germantown, TN 38138-5941 | 2009-07-10 |
| 1467630723 | Allergy and Asthma Specialists of Memphis, PC | Specialist | 2006 Exeter Rd, Germantown, TN 38138-3945 | 2008-02-08 |
| 1023216470 | John Robert Vincent | Specialist | 8573 Cordes Cir, Germantown, TN 38139-3317 | 2007-07-06 |
| 1881895480 | Gerald W. Bock | Specialist | 8573 Cordes Circle, Germantown, TN 38139 | 2007-05-30 |
| 1093836769 | Advanced Women's Care | Specialist | 19514 Doctors Dr, Germantown, MD 20874-5200 | 2007-04-02 |
| 1619010428 | Ronald Jackson Johnson | Specialist | 7910 Wolf River Blvd, Germantown, TN 38138-1725 | 2007-02-14 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MEMPHIS SPINE CENTER.
| 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.