METRO MEMPHIS MEDICAL SPECIALIST, INC. (NPI# 1316961931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316961931 |
| Entity Type | Organization |
| Organization Name | METRO MEMPHIS MEDICAL SPECIALIST, INC. |
| Practice Address |
3960 Knight Arnold Rd #420 Memphis TN 38118-3035 |
| Practice Telephone | 9013663883 |
| Practice Fax Number | 9013663887 |
| Mailing Telephone | 9013663883 |
| Mailing Fax Number | 9013663887 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH W HARRIS (OWNER) |
| Authorized Official Telephone | 9013663883 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3731970 | 05 |
| Street Address |
3960 KNIGHT ARNOLD RD #420 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646911 | Eugene Eaton Mckenzie | Internal Medicine | 3960 Knight Arnold Rd, Suite 322, Memphis, TN 38118-3035 | 2006-02-02 |
| 1104297639 | Dependable Care LLC | Nurse Practitioner | 3960 Knight Arnold Rd, Ste 115, Memphis, TN 38118-3035 | 2015-10-09 |
| 1407247315 | Valarie Kershaw-berry | Nurse Practitioner | 3960 Knight Arnold Rd, Ste 108, Memphis, TN 38118-3035 | 2015-02-13 |
| 1811398944 | Renatus Professional Association | Internal Medicine | 3960 Knight Arnold Rd, Memphis, TN 38118-3035 | 2014-09-08 |
| 1144504705 | Dialysis Newco, Inc. | Clinic/Center | 3960 Knight Arnold Rd, Suite 107, Memphis, TN 38118-3001 | 2011-09-30 |
| 1548596158 | Createhealth LLC | Clinic/Center | 3960 Knight Arnold Rd, Suite 302, Memphis, TN 38118-3035 | 2009-11-02 |
| 1164758124 | Jeffrey B Stricklin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 108, Memphis, TN 38118-3035 | 2009-10-27 |
| 1518117043 | Orthonow, Pllc | Orthopaedic Surgery | 3960 Knight Arnold Rd, Suite 106, Memphis, TN 38118-3035 | 2008-09-20 |
| 1760643738 | Tennessee Cardiovascular Institute | Internal Medicine | 3960 Knight Arnold Rd, Suite 215, Memphis, TN 38118-3035 | 2008-06-22 |
| 1629237292 | Memphis Primary Care Specialists | Family Medicine | 3960 Knight Arnold Rd, Suite 102, Memphis, TN 38118-3035 | 2008-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124175542 | David L Smith | Medical Genetics, Ph.D. Medical Genetics | 4321 Fayette Rd, Memphis, TN 38128-5723 | 2007-01-05 |
| 1154373330 | Bowden Internal Medicine | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2006-05-16 |
| 1104040229 | Bowden Internal Medicine,pllc | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2007-04-12 |
| 1356409049 | Ethelyn Williams-neal | Medical Genetics, Ph.D. Medical Genetics | 1407 Union Ave, Suite 305, Memphis, TN 38104-3627 | 2006-12-05 |
| 1538172309 | Dynamic Directions Internal Medicine, PC | Medical Genetics, Ph.D. Medical Genetics | 7655 Poplar Ave, #350, Memphis, TN 38138-3957 | 2006-08-14 |
| 1083641252 | Marcia R Bowden | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265683783 | Cindy Vnencak-jones | Medical Genetics, Ph.D. Medical Genetics | 4918c Tvc, Vanderbilt University Medical Center, Nashville, TN 37232-5310 | 2008-10-02 |
| 1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
| 1427151406 | Pigeon Forge Medical Clinic | Medical Genetics, Ph.D. Medical Genetics | 3342 Parkway, Pigeon Forge, TN 37863-3423 | 2006-09-06 |
| 1518971951 | Family Medical Group | Medical Genetics, Ph.D. Medical Genetics | 126 East Highway 72, Collierville, TN 38017-2943 | 2006-07-29 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1285974998 | Xiaoxiang Zhang | Medical Genetics, Ph.D. Medical Genetics | 201 Summit View Dr, Suite 301, Brentwood, TN 37027-4645 | 2013-02-18 |
| 1518155407 | Ashwini K Yenamandra | Medical Genetics, Ph.D. Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2007-10-04 |
| 1205905304 | Ronald Mcdow | Medical Genetics, Ph.D. Medical Genetics | 4126 Nolensville Pike, Nashville, TN 37211-4717 | 2006-11-06 |
| 1780774570 | Robert Edmund Walter | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
| 1124118971 | Jerry L Gastineau | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
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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.