JORGE LUIS WEBER GUZMAN


Address: 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123
Phone: 9012260456

JORGE LUIS WEBER GUZMAN (NPI# 1306112487) 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) 1306112487
Entity Type Individual
Full Name JORGE LUIS WEBER GUZMAN
Credential M.D.
Practice Address 6025 Walnut Grove Rd Ste 301
Memphis
TN 38120-2123
Mailing Address 965 Ridge Lake Blvd Ste 103
Memphis
TN 38120-9446
Practice Telephone 9012260456
Practice Fax Number 9012260458
Mailing Fax Number 9012278591
Enumeration Date 2012-03-22
Last Update Date 2020-10-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
28172 MS Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
57890 TN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
401 Southcrest Cir Ste 201, Southaven, MS 386716721 9012260456 9012260458

Office Location

Street Address 6025 WALNUT GROVE RD STE 301
City MEMPHIS
State TN
Zip Code 38120-2123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942266713 Stephen W Behrman Surgery 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2006-04-21
1083249320 Aaron Tate Boyd Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2020-03-06
1205499019 Celena Lanette Jones Nurse Practitioner 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2019-04-17
1316485667 Kathryn Lee Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2017-02-07
1558701912 Kari Rose Albery Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120 2013-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
Find all providers in zip 38120

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215548375 Center for Vein Restoration Tn Pllc Surgery 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 2020-08-12
1679969729 Jeffrey Thomas Johnston Surgery 910 Madison Ave Fl 2, Memphis, TN 38103-3403 2015-04-15
1528289808 Shaun Michael Stickley Surgery 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 2007-05-02
1992813158 Larry Dale Burke Surgery 6025 Walnut Grove Rd Ste 311, Memphis, TN 38120-2123 2006-08-28
1073538823 Jonathan J Ellichman Surgery 6401 Poplar Ave Ste 410, Memphis, TN 38119-4808 2006-07-13
1881901163 James Eric Gardner, Md, PC Surgery 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 2010-09-08
1952555666 Prateek Kumar Gupta Surgery 1325 Eastmoreland Ave, Suite 310, Memphis, TN 38104-3519 2008-11-07
1770789349 Larry Burke, Md, PC Surgery 6025 Walnut Grove Rd, #311, Memphis, TN 38120-2131 2007-06-21
1801009089 James Eric Gardner Surgery 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 2007-05-07
1386744514 Patricio A. Ilabaca, Md, PC Surgery 6027 Walnut Grove Rd, Suite 114, Memphis, TN 38120-2145 2006-09-25
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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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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