MELROSE INGLE BLACKETT (NPI# 1376623819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376623819 |
| Entity Type | Individual |
| Full Name | MELROSE INGLE BLACKETT |
| Credential | MD |
| Practice Address |
7655 Poplar Ave Building A Suite 130 Germantown TN 38138 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5800 |
| Practice Telephone | 9017570229 |
| Practice Fax Number | 9017579503 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0000015010 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3726929 | 05 |
| Street Address |
7655 POPLAR AVE BUILDING A SUITE 130 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919075 | Samuel Gwin Robbins Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7655 Poplar Ave, Ste 350, Germantown, TN 38138-3957 | 2005-06-02 |
| 1992181671 | Jayanta K Dirghangi Md PC | Obstetrics & Gynecology | 7655 Poplar Ave, Suite 360, Germantown, TN 38138-3957 | 2015-08-05 |
| 1972903565 | Heather Hartman Draper | Physician Assistant | 7655 Poplar Ave, Germantown, Germantown, TN 38138-3957 | 2014-09-02 |
| 1023398104 | Stephanie Nicole Heinsch | Physician Assistant | 7655 Poplar Ave, Suite 350, Germantown, TN 38138-3957 | 2011-08-22 |
| 1619136058 | Debra E Abston | Nurse Practitioner | 7655 Poplar Ave, Bldg A, Suite 155, Germantown, TN 38138-3957 | 2008-06-02 |
| 1558546655 | Memphis Women's Consulting,pllc | Specialist | 7655 Poplar Ave, Building A Suite 130, Germantown, TN 38138-3957 | 2008-01-08 |
| 1568671246 | Angela Hope Miller | Nurse Practitioner | 7655 Poplar Ave, Suite 130, Germantown, TN 38138-3957 | 2007-05-21 |
| 1275758450 | Eva Gail Proctor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7655 Poplar Ave, Building A, Suite 350, Germantown, TN 38138-3957 | 2007-04-14 |
| 1366585325 | James H. Owens, M.d. | Surgery | 7655 Poplar Ave, Suite 385, Germantown, TN 38138-4932 | 2007-02-15 |
| 1548333636 | Jayanta Kumar Dirghangi | Specialist | 7655 Poplar Ave, Suite 360, Germantown, TN 38138-3995 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544398 | Carol Countryman Kutteh | Obstetrics & Gynecology | 9250 Glenda Rd, Germantown, TN 38139-6702 | 2019-02-19 |
| 1790271914 | Robert A Wiener | Obstetrics & Gynecology | 7205 Mont Blanc Dr, Germantown, TN 38138-2066 | 2018-07-11 |
| 1629584131 | Mcdonald Murrmann Center for Womens Health | Obstetrics & Gynecology | 7205 Wolf River Blvd Ste 150, Germantown, TN 38138-1776 | 2017-12-19 |
| 1396157145 | Teri-lee Foster | Obstetrics & Gynecology | 7705 Poplar Ave Ste 110, Germantown, TN 38138 | 2014-05-28 |
| 1093989964 | Associates Obstectrics and Gynecology | Obstetrics & Gynecology | 7655 Poplar Ave Bldg A, Suite 340, Germantown, TN 38138-3957 | 2008-04-22 |
| 1104028737 | Mestemacher Clinic for Women, Pllc | Obstetrics & Gynecology | 7918 Wolf River Blvd., Germantown, TN 38138-1725 | 2007-06-05 |
| 1922166784 | Subalaxmi Valli Vinayakom | Obstetrics & Gynecology | 19517 Doctors Dr, Germantown, MD 20874 | 2006-12-05 |
| 1114097458 | Melvinie Seymore | Obstetrics & Gynecology | 7705 Poplar Ave., Bldg B Ste 110, Germantown, TN 38138 | 2006-11-08 |
| 1659441996 | Rushelle J Cyrus | Obstetrics & Gynecology | 2001 W Houston Way, Germantown, TN 38139-6933 | 2006-11-08 |
| 1295814861 | Tanja Lu Todd | Obstetrics & Gynecology | 7516 Capital Dr, Germantown, TN 38138 | 2006-11-03 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MELROSE INGLE BLACKETT.
| 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.