UT MEDICAL GROUP, INC. (NPI# 1336643121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336643121 |
| Entity Type | Organization |
| Organization Name | UT MEDICAL GROUP, INC. |
| Practice Address |
995 S Yates Rd Ste 2 Memphis TN 38119-0882 |
| Mailing Address |
Dept #93 Po Box 1000 Memphis TN 38148-0093 |
| Practice Telephone | 9017675620 |
| Practice Fax Number | 9017634326 |
| Mailing Telephone | 9018668205 |
| Mailing Fax Number | 9013022120 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | ANDREW BOTSCHNER (CEO) |
| Authorized Official Telephone | 9013820393 |
| Is Organization Subpart | Y |
| Parent Organization Name | UT MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103057 | Ut Medical Group, Inc. | Podiatrist | 6575 Stage Rd, Bartlett, TN 38134-3809 | 2018-02-05 |
| 1154861219 | Ut Medical Group, Inc. | General Acute Care Hospital | 51 N Dunlap St, Neonatal Intensive Care Unit, Memphis, TN 38105-4625 | 2017-03-08 |
| Street Address |
995 S YATES RD STE 2 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931272 | Brian Norman Kiel | Podiatrist | 995 S Yates Rd Ste 2, Memphis, TN 38119-0882 | 2005-09-07 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497049449 | Abdul Rahman Ba | Podiatrist | 3960 Knight Arnold Rd Ste 102, Memphis, TN 38118-3001 | 2011-06-07 |
| 1417166489 | Joel M. Cook, Dpm, Pa | Podiatrist | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2007-05-22 |
| 1437278397 | Larry Baggett | Podiatrist | 3794 Park Ave, Memphis, TN 38111-6649 | 2007-03-29 |
| 1124188511 | Antonio Lavale Knowles | Podiatrist | 5362 Estate Office Dr, Suite 1, Memphis, TN 38119-3635 | 2006-12-08 |
| 1417964198 | Ronald E Rosenberg | Podiatrist | 920 Estate Drive, Suite 1, Memphis, TN 38119-0601 | 2006-08-02 |
| 1891743241 | Paul Hutchison | Podiatrist | 7878 Winchester Rd, Memphis, TN 38125-2307 | 2006-05-05 |
| 1538117411 | Joel Cook | Podiatrist | 3804 Elvis Presley Blvd, Memphis, TN 38116-4106 | 2006-05-04 |
| 1952371445 | Thomas E Ashbery | Podiatrist | 1038 S Yates Rd, Memphis, TN 38119-3708 | 2006-01-25 |
| 1871125146 | Seniorwell Pod of Tennessee LLC | Podiatrist | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2020-02-05 |
| 1588827109 | Shanta L. Griffin | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6492 | 2008-07-03 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on UT MEDICAL GROUP, INC..
| 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.