MOHAMMAD THEIB ASSAF


Address: 6005 Park Ave, Suite # 722b, Memphis, TN 38119-5202
Phone: 9016838448

MOHAMMAD THEIB ASSAF (NPI# 1205845468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205845468
Entity Type Individual
Full Name MOHAMMAD THEIB ASSAF
Credential MD
Practice Address 6005 Park Ave
Suite # 722b
Memphis
TN 38119-5202
Mailing Address Po Box 1616
Cordova
TN 38088-1616
Practice Telephone 9016838448
Practice Fax Number 9016838558
Mailing Telephone 9016838448
Mailing Fax Number 9016838558
Enumeration Date 2006-08-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD0000027300 TN Other Service Providers
N 174400000X Specialist 13794 MS Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00114404 05

Office Location

Street Address 6005 PARK AVE
SUITE # 722B
City MEMPHIS
State TN
Zip Code 38119-5202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091612 Eugene J. Spiotta Jr. Internal Medicine 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 2005-05-24
1013525187 Kershaw Primary Care and Weight Loss Nurse Practitioner 6005 Park Ave, Memphis, TN 38119-5202 2020-07-15
1023552387 Mary Hamm Social Worker 6005 Park Ave, Memphis, TN 38119-5202 2016-12-06
1427501147 Michelle Colette Gammill Physician Assistant 6005 Park Ave, Suite 500b, Memphis, TN 38119-5202 2016-07-28
1659732063 Jennifer Wineland Rich Nurse Practitioner 6005 Park Ave, Memphis, TN 38119-5202 2016-03-11
1033581764 Sue Stovall Registered Nurse 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 2015-10-21
1497121990 Vogelfanger and Struble Clinic, Pllc Nurse Practitioner 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 2015-08-19
1801297551 Robert W Greene Jr Md PC Physical Medicine & Rehabilitation 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 2014-09-12
1780085787 Isaac John M.d., P.c Pediatrics 6005 Park Ave, Memphis, TN 38119-5202 2014-09-09
1093131401 Mid South Pain and Anesthesia Clinic Durable Medical Equipment & Medical Supplies 6005 Park Ave, Suite 502, Memphis, TN 38119-5202 2014-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417469628 Jojuan Fullwiley Behavioral Analyst 6685 Quince Rd Ste 116, Memphis, TN 38119 2017-10-27
1336675297 Jill Budynas Depriest Counselor 5583 Murray Ave Ste 203, Memphis, TN 38119 2017-05-11
1396279220 Glen Matthew Stamps Jr. Counselor 5583 Murray Ave Ste 207, Memphis, TN 38119 2017-04-18
1598117442 Hazel Aberdeen Chiropractor 1911 Memphis Tennessee, Memphis, TN 38119 2016-07-04
1831569060 E-c-t Non Emergency Medical Transport Non-emergency Medical Transport (VAN) 6869 Woodlake Dr, Memphis, TN 38119 2015-09-30
1053781617 Astrid Roman Dietitian, Registered 8020 Hillside Cv, Memphis, MS 38119 2015-09-25
1467857664 Allan Jacob Katz Counselor 5668 Rex Rd, Suite 104, Memphis, TN 38119 2014-10-30
1962836015 Judy Ann Harrick Acupuncturist 5575 Poplar Ave., #702, Memphis, TN 38119 2013-08-26
1366791949 Jennifer Denyes Bidelman Audiologist 5625 Poplar Avenue, Memphis, TN 38119 2012-08-29
1578833620 Elizabeth Mary Dion-douglass Pharmacist 2891 Kirby Parkway, Memphis, TN 38119 2012-01-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487270963 Daphne Hall Specialist 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 2020-06-22
1013481597 Tiffany Powell Specialist 679 S Mendenhall Rd, Memphis, TN 38117-5212 2019-01-17
1245735067 Xclusive Kutz Barbershop Specialist 3610 Park Ave, Memphis, TN 38111-5630 2018-03-25
1033582267 Aletta Roebuck Specialist 2275 Edgewood Cv, Memphis, TN 38104-4357 2015-11-10
1922482967 Convalescent Home Health Services Specialist 2904 Chelsea Ave, Memphis, TN 38108-1705 2015-07-18
1821407859 Rachel Siegel Specialist 430 Essex Pl, Memphis, TN 38120-2422 2014-08-04
1790199180 Supplemental Specialists Specialist 7665 Easterly Ln, Memphis, TN 38125-4313 2014-06-13
1982027769 Dowen E Synder Specialist 6224 Shady Grove Ln, Memphis, TN 38120-3107 2014-01-29
1962845503 Atlas Health, Pllc Specialist 14 N Mclean Blvd, Memphis, TN 38104-2645 2013-04-13
1760725659 Jyothishree PC Specialist 6005 Park Ave Ste 626b, Memphis, TN 38119-5221 2013-03-29
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Competitor

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City MEMPHIS
Zip Code 38119

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Dataset Information

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.

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