NICHOLAS J. ECONOMIDES (NPI# 1255383386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255383386 |
| Entity Type | Individual |
| Full Name | NICHOLAS J. ECONOMIDES |
| Credential | M.D. |
| Practice Address |
6005 Park Ave Ste 700 Memphis TN 38119-5217 |
| Practice Telephone | 9012553003 |
| Mailing Telephone | 9012553003 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
1274 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 000000239823 | 01 | |
| MOUNTAIN STATE BCBS | 001714145 | 01 | |
| RR MEDICARE | 240007884 | 01 |
| Street Address |
6005 PARK AVE STE 700 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5217 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073036232 | Miriam Wing San Tsao | Surgery | 1211 Union Ave Suite 300, Memphis, TN 38104-3415 | 2017-07-19 |
| 1063582278 | Christine T Mroz | Surgery | 6005 Park, #700, Memphis, TN 38119-5217 | 2006-11-08 |
| 1437436797 | West Clinic PC | Surgery | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2011-11-14 |
| 1700045689 | Keli Makela Turner | Surgery | 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 | 2008-06-05 |
| 1457524209 | Ashley Allen Hendrix | Surgery | 1211 Union Ave Ste 300, Memphis, TN 38104 | 2008-04-11 |
| 1679773832 | Roy C. Page | Surgery | 3960 Knight Arnold Rd, #322, Memphis, TN 38118-3035 | 2007-07-24 |
| 1407981467 | Memphis Surgical Specialists, PC | Surgery | 3950 New Covington Pike, Suite 200, Memphis, TN 38128-2595 | 2007-02-22 |
| 1700892387 | David Shibata | Surgery | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751594 | Benjamin Lewis Hechler | Surgery | 1924 Alcoa Hwy Ste 335, Knoxville, TN 37920-1511 | 2013-06-28 |
| 1952720849 | Rachel Hunter | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2014-04-08 |
| 1528319357 | West Clinic, P.C. | Surgery | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2012-09-19 |
| 1265787550 | Mariana Isabel Chavez | Surgery | 356 24th Ave N Ste 400, Nashville, TN 37203 | 2012-07-23 |
| 1942584594 | West Clinic PC | Surgery | 1385 W Brierbrook Rd, Germantown, TN 38138-2208 | 2011-09-30 |
| 1003132077 | Colleen M Kiernan | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-15 |
| 1194958926 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2009-08-27 |
| 1144477100 | Deepa Ramakumar Magge | Surgery | Vanderbilt Ingram Cancer Center, 1301 Medical Center Drive, Nashville, TN 37232 | 2008-08-21 |
| 1053510586 | James Michael Lewis | Surgery | 1934 Alcoa Hwy, Suite 476, Knoxville, TN 37920 | 2007-07-14 |
| 1710185921 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
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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.