DR. TERESA L FRITTS (NPI# 1295735454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295735454 |
| Entity Type | Individual |
| Full Name | DR. TERESA L FRITTS |
| Credential | MD |
| Practice Address |
3451 Goodman Rd E Suite 115 Southaven MS 38672-9303 |
| Mailing Address |
42 S Alicia Dr Memphis TN 38112-4304 |
| Practice Telephone | 6628905555 |
| Practice Fax Number | 6628908899 |
| Mailing Telephone | 9014528483 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
39003 | TN | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 19274 | MS | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 19274 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
3451 GOODMAN RD E SUITE 115 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205282704 | Elizabeth Dycus | Physical Therapist | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2016-05-13 |
| 1487053948 | Brooke E. Schuppan | Physical Therapist | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2014-08-20 |
| 1013323369 | Agilitas Usa Inc. | Clinic/Center | 3451 Goodman Rd E, Suite 108, Southaven, MS 38672-9303 | 2014-07-08 |
| 1578816575 | Casey Nester | Nurse Practitioner | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2012-10-16 |
| 1386964765 | Agilitas Usa, Inc | Clinic/Center | 3451 Goodman Rd E, Ste 110, Southaven, MS 38672-9303 | 2010-06-08 |
| 1780917443 | Tracey L Mays | Nurse Practitioner | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2009-09-14 |
| 1851575138 | Nicole Lynn Payne | Nurse Practitioner | 3451 Goodman Rd E, Suite 115, Southaven, MS 38672-9303 | 2007-12-23 |
| 1831140508 | Beverly P. Weaver | Nurse Practitioner | 3451 Goodman Rd E, Ste 115, Southaven, MS 38672-9303 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862863 | Mark A Dancy | Emergency Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-10-14 |
| 1952490260 | Kerry J Yancy | Emergency Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-12 |
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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.