PODIATRY CENTERS OF MEMPHIS PC (NPI# 1245287002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245287002 |
| Entity Type | Organization |
| Organization Name | PODIATRY CENTERS OF MEMPHIS PC |
| Practice Address |
995 S Yates Rd Suite 2 Memphis TN 38119-0882 |
| Practice Telephone | 9017630461 |
| Practice Fax Number | 9016819820 |
| Mailing Telephone | 9017630461 |
| Mailing Fax Number | 9016819820 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | BRIAN N KIEL (PRESIDENT) |
| Authorized Official Telephone | 9017630461 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI BRIAN N. KIEL | 1316931272 | 01 | |
| NPI DAVID M. MOINESTER | 1386639789 | 01 | |
| RAILROAD MEDICARE | CC4980 | 01 |
| Street Address |
995 S YATES RD SUITE 2 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710945860 | Robert Alfred Donato | Urology | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2006-05-01 |
| 1396043691 | Tracrw LLC | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2011-03-10 |
| 1295033744 | Trasun LLC | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2011-03-08 |
| 1831320076 | Memphis Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| 1104057348 | Tennessee Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| 1992908297 | Gerald Triminh Huy Dang | Urology | 995 S Yates Rd, Ste. 1, Memphis, TN 38119-0882 | 2007-06-06 |
| 1871711341 | Asc Memphis | Clinic/Center | 995 S Yates Rd, Memphis, TN 38119-0882 | 2007-04-23 |
| 1184765497 | Associated Urologists of Memphis PC | Specialist | 995 S Yates Rd, Ste. 1, Memphis, TN 38119-0882 | 2007-02-09 |
| 1184770356 | Southeast Urology Network PC | Specialist | 995 S Yates Rd, Ste. 1, Memphis, TN 38119-0882 | 2007-01-28 |
| 1235244559 | Stephen Mark Eppel | Urology | 995 S Yates Rd, Ste. 1, Memphis, TN 38119-0882 | 2006-08-19 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740247766 | Nathan Lucas | Podiatrist | 2900 Kirby Rd, Suite 5, Memphis, TN 38119-8221 | 2006-04-26 |
| 1467449041 | Tyrone Teako Davis | Podiatrist | 1204 Madison Ave, Memphis, TN 38104-2226 | 2005-09-29 |
| 1497192678 | Artineli Footcare Solutions Pllc | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6458 | 2013-05-29 |
| 1396744959 | Daniel Jay Tucker | Podiatrist | 4901 Raleigh Common Drive, Memphis, TN 38128 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
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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.