BAPTIST MEMORIAL MEDICAL GROUP INC (NPI# 1174705156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174705156 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Other Organization Name | BAPTIST MEMORIAL HEALTH SERVICES, INC. OF TENNESSEE |
| Practice Address |
1500 W Poplar Ave Suite 308 Collierville TN 38017-0601 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 9018619270 |
| Practice Fax Number | 9018619271 |
| Mailing Telephone | 9012277457 |
| Mailing Fax Number | 9012275699 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | DONALD R POUNDS (SENIOR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 9012277463 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baptist Memorial Health Services, Inc. of Tennessee | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087324 | Baptist Memorial Medical Group Inc | Pharmacy | 8040 Wolf River Blvd Ste 200, Germantown, TN 38138-1775 | 2019-01-22 |
| 1831422104 | Baptist Memorial Medical Group Inc | Surgery | 6215 Humphreys Blvd, Suite 505, Memphis, TN 38120-2367 | 2009-09-17 |
| 1306089206 | Baptist Memorial Medical Group Inc | Urology | 8970 Winchester Rd, Memphis, TN 38125-8231 | 2009-04-08 |
| 1013156173 | Baptist Memorial Medical Group Inc | Urology | 1109 E Reelfoot Ave, Suite I, Union City, TN 38261-5856 | 2009-02-13 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1689837361 | Baptist Memorial Medical Group Inc | Internal Medicine | 1995 Highway 51 S, Covington, TN 38019-3635 | 2008-07-03 |
| 1154597896 | Baptist Memorial Medical Group Inc | Psychiatry & Neurology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2008-05-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1568651297 | Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2007-10-18 |
| 1629262027 | Baptist Memorial Medical Group Inc | Internal Medicine | 1109 E Reelfoot Ave, Suite A, Union City, TN 38261-5856 | 2007-08-29 |
| Street Address |
1500 W POPLAR AVE SUITE 308 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569034 | Joy C Burbeck | Internal Medicine | 1500 W Poplar Ave, Ste 206, Collierville, TN 38017-0601 | 2005-06-21 |
| 1669794574 | Collierville Family Medicine PC | Family Medicine | 1500 W Poplar Ave, Suite 310, Collierville, TN 38017-0601 | 2010-02-18 |
| 1417117433 | Southern Spine Specialists, Pllc | Orthopaedic Surgery | 1500 W Poplar Ave, Suite 201, Collierville, TN 38017-0601 | 2008-06-12 |
| 1972761302 | Tommy C. Thompson,m.d. | Urology | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 | 2008-06-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1912197252 | Bharat R Patel | Respiratory Therapist, Registered | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-08-01 |
| 1285835645 | Lynda Pelot Mcallister | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-05-31 |
| 1912126889 | Deanne Elisabeth Hettinger | Occupational Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-25 |
| 1821216300 | Sean Ichael Oconnell | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| 1558589051 | Dwana Jeane Desanctis | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659441889 | William David Dunavant IIi | Surgery | 1500 W Poplar Ave Ste 304, Collierville, TN 38017-0601 | 2006-11-08 |
| 1528064789 | Lovell Bernard Smith Jr. | Surgery | 554 Green Tree Cv, Ste 202, Collierville, TN 38017-2551 | 2005-06-22 |
| 1740367176 | William David Dunavant Jr. | Surgery | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.