JEROME S. SIEGEL, M.D. P.C.


Address: 6025 Walnut Grove Rd, Suite 607, Memphis, TN 38120-2131
Phone: 9016832161

JEROME S. SIEGEL, M.D. P.C. (NPI# 1386790491) 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) 1386790491
Entity Type Organization
Organization Name JEROME S. SIEGEL, M.D. P.C.
Practice Address 6025 Walnut Grove Rd
Suite 607
Memphis
TN 38120-2131
Practice Telephone 9016832161
Practice Fax Number 9016810768
Mailing Telephone 9016832161
Mailing Fax Number 9016810768
Enumeration Date 2007-01-25
Last Update Date 2020-08-22
Authorized Official Name JEROME S SIEGEL (PRESIDENT)
Authorized Official Telephone 9016832161
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
MD26874 TN Allopathic & Osteopathic Physicians
X 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD4189 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 6025 WALNUT GROVE RD
SUITE 607
City MEMPHIS
State TN
Zip Code 38120-2131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478103 Emmel B. Golden Jr. Internal Medicine 6025 Walnut Grove Rd, Ste 508, Memphis, TN 38120-2125 2005-06-21
1366957623 Baptist Memorial Hospital Pharmacy 6025 Walnut Grove Rd, Memphis, TN 38120-2131 2017-12-08
1891159364 Laura Shea Mccloskey Nurse Practitioner 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 2016-04-11
1033596218 Amanda Allen Nurse Practitioner 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 2015-04-27
1558758318 James Daniel Carson Student in an Organized Health Care Education/Training Program 6025 Walnut Grove Rd, Memphis, TN 38120-2131 2015-04-20
1891186912 Jaime Watkins Nurse Practitioner 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 2015-02-11
1154736239 Sameh Fikry Askandar Student in an Organized Health Care Education/Training Program 6025 Walnut Grove Rd, Memphis, TN 38120-2131 2014-06-26
1821418104 Amy S. Thomas Nurse Practitioner 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 2014-04-24
1962755405 Carrie-ann Hogan Pharmacist 6025 Walnut Grove Rd, Memphis, TN 38120-2131 2012-10-22
1811279656 Memphis Lung Physicians Foundation, Inc. Internal Medicine 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 2011-09-19
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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
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932157260 Brent Michael Snader Internal Medicine 2861 Broad Ave, Memphis, TN 38112-2903 2006-05-05
1285682849 Richard N Donlon Internal Medicine 4095 American Way, Suite 1, Memphis, TN 38118-8339 2006-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346388568 Samson Kanla Orusa Internal Medicine 261 Stonecrossing Dr, Clarksville, TN 37042-8404 2007-02-01
1679649271 Ara James Hanissian Internal Medicine 574 Green Tree Cv, Suite 101, Collierville, TN 38017-2562 2006-11-27
1245289305 Alston Graham Warr Internal Medicine 7715 Wolf River Blvd, Germantown, TN 38138 2006-05-08
1801845821 Bradley Paul Carter Internal Medicine 2202 Martin Luther King Jr Ave, Knoxville, TN 37915-1570 2006-05-08
1215126644 John T Clardy Sr Md Inc Internal Medicine 215 8th St, Clarksville, TN 37040-3249 2007-10-22
1831385012 Jayraj C. Shah, Md,pc Internal Medicine 416 N Locust Ave, Lawrenceburg, TN 38464-3518 2007-09-20
1376747931 Annola Kilai Dildy Internal Medicine 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 2007-06-14
1134336563 Rajesh Shivaji Kadam Internal Medicine 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2007-05-16
1104913219 Stephen Todd Callahan Internal Medicine 3601 Tvc, Nashville, TN 37232-0001 2006-10-09
1932291358 John Greene Internal Medicine 3601 Tvc, Nashville, TN 37232-0001 2006-09-30
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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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