DR. CAMILLA R FORSYTHE (NPI# 1356341044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356341044 |
| Entity Type | Individual |
| Full Name | DR. CAMILLA R FORSYTHE |
| Credential | MD |
| Practice Address |
6225 Humphreys Blvd Memphis TN 38120-2373 |
| Mailing Address |
1431 Centerpoint Blvd Ste 100 Knoxville TN 37932-1983 |
| Practice Telephone | 9012277337 |
| Mailing Telephone | 8659857094 |
| Mailing Fax Number | 9013177585 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 26531 | TN | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
26531 | TN | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
26531 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
6225 HUMPHREYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901328 | Chandler Mims Dalton | Registered Nurse | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2020-04-23 |
| 1790316115 | Lisa Renee Dickey | Nurse Practitioner | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2020-02-04 |
| 1528529476 | Kaylan Hudson Lowry | Nurse Practitioner | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2019-03-25 |
| 1275023095 | Baptist Memorial Hospital | General Acute Care Hospital | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2018-05-17 |
| 1659894194 | Paige Elizabeth Marcantel | Social Worker | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2017-07-17 |
| 1548653686 | Crystal L Shotwell | Nurse Practitioner | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2015-03-13 |
| 1437574902 | Rachel Mccoy Jayroe | Nurse Practitioner | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2014-02-20 |
| 1689930653 | Sheridan Children's Healthcare Services of Tennessee, PC | Pediatrics | 6225 Humphreys Blvd, Memphis, TN 38120-2373 | 2012-04-04 |
| 1801908918 | Anna E Mize | Radiology | 6225 Humphreys Blvd, Memphis, TN 38120 | 2006-08-31 |
| 1538270665 | Varna P Love | Radiology | 6225 Humphreys Blvd, Memphis, TN 38120 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891287090 | Shelby Linwood Gillette Jr. | Emergency Medicine | 170 S Goodlett St Ste A, Memphis, TN 38117-2914 | 2018-06-04 |
| 1710413885 | Michael Sidney Reich | Emergency Medicine | 665 Tennessee St, Memphis, TN 38103-8794 | 2017-05-10 |
| 1871049023 | Keystone Medical Services of West Point Inc | Emergency Medicine | 6075 Poplar Avenue, Suite 401, Memphis, TN 38119-0114 | 2016-08-28 |
| 1740634054 | Thomas Oswald | Emergency Medicine | 251 S Claybrook St Ste A206, Memphis, TN 38104-3539 | 2016-04-22 |
| 1134573777 | Amanda Box | Emergency Medicine | 251 S Claybrook St Ste A-206, Memphis, TN 38104-3539 | 2016-04-20 |
| 1265811590 | Elizabeth Coombs Gamble | Emergency Medicine | 50 N Dunlap St # 20, Memphis, TN 38103 | 2015-05-19 |
| 1154716306 | Kimberly Michelle Brown | Emergency Medicine | 104 Sawyer Cir Apt 494, Memphis, TN 38103 | 2015-04-04 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1528472289 | Diego S Espinoza | Emergency Medicine | 4095 American Way Ste 1, Memphis, TN 38118-8339 | 2014-06-19 |
| 1881037554 | Cailin Mckenna Frank | Emergency Medicine | 51 N Dunlap St, Ste 100, Lebonheur Children's Hospital - Er, Memphis, TN 38103 | 2013-04-12 |
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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.