DR. SVETLANA YANISHEVSKI (NPI# 1164511085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164511085 |
| Entity Type | Individual |
| Full Name | DR. SVETLANA YANISHEVSKI |
| Credential | M.D. |
| Practice Address |
5050 Sanderlin Memphis TN 38117 |
| Practice Telephone | 9016839371 |
| Practice Fax Number | 9016835503 |
| Mailing Telephone | 9016839371 |
| Mailing Fax Number | 9016835503 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
30493 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
5050 SANDERLIN |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699857680 | Charles Christopher Hanson | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-19 |
| 1881784650 | Ashley B. Miller | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-13 |
| 1952491060 | Edgar E. Perry | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-13 |
| 1477642395 | Judy E. Perry | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| 1063597979 | James Langston Cowan IIi | Pediatrics | 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 | 2006-10-26 |
| 1790735124 | Tamara P Folz | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2006-05-10 |
| 1346649894 | Kids Care Medical Center | Pediatrics | 6073 Mt Moriah Rd Ext, Suite 2, Memphis, TN 38115-2666 | 2014-08-21 |
| 1548514771 | Contemporary Pediatrics, Pa | Pediatrics | 4250 Faronia Rd, Memphis, TN 38116-6527 | 2012-11-09 |
| 1508027459 | Preeti Palakurthi | Pediatrics | 2860 Covington Pike, Memphis, TN 38128-8090 | 2008-06-23 |
| 1487797536 | Memphis & Shelby County Pediatric Group | Pediatrics | 6479 Winchester Rd, Suite 118, Memphis, TN 38115-4240 | 2007-02-15 |
| 1376622811 | James F. Stanford | Pediatrics | 5575 Poplar Ave, Ste 112, Memphis, TN 38119-3856 | 2006-11-03 |
| 1699857680 | Charles Christopher Hanson | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-19 |
| 1881784650 | Ashley B. Miller | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-13 |
| 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.