DR. NICKHILL HITESH BHAKTA (NPI# 1447506365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447506365 |
| Entity Type | Individual |
| Full Name | DR. NICKHILL HITESH BHAKTA |
| Credential | M.D. |
| Practice Address |
262 Danny Thomas Way Ms 721 Memphis TN 38105 |
| Mailing Address |
262 Danny Thomas Pl # Ms 515 Memphis TN 38105-3678 |
| Practice Telephone | 4236676132 |
| Mailing Telephone | 9015953300 |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 52076 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A121148 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
52076 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
262 DANNY THOMAS WAY MS 721 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| 1861663825 | Lanny Charles | Counselor | 1094 Poplar Ave., Serenity Recovery Centers, Memphis, TN 38105 | 2008-03-18 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438698 | Mireya Paulina Velasquez | Pediatrics | 262 Danny Thomas Pl # Ms 310, Memphis, TN 38105-3678 | 2011-03-23 |
| 1003089590 | Michael William Bishop | Pediatrics | 262 Danny Thomas Pl # Ms 260, Memphis, TN 38105-3678 | 2008-04-07 |
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1467455592 | Rupert Handgretinger | Pediatrics | St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 | 2005-05-23 |
| 1114493095 | Gina Marie Norman | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-10-18 |
| 1306335088 | St Jude Children's Research Hospital, Inc. | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-05-08 |
| 1023535275 | Pak Yin Anthony Liu | Pediatrics | 262 Danny Thomas Place, Memphis, TN 38105 | 2017-08-29 |
| 1043651318 | Andrea Joan Cuviello | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2013-07-15 |
| 1447591912 | Alia Zaidi | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2013-03-08 |
| 1043575582 | Catherine Lam | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-07-11 |
| Find all providers in MEMPHIS | ||||
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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.