KRISTIN MARIE HERTLER (NPI# 1447570940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447570940 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE HERTLER |
| Credential | D.O. |
| Practice Address |
2861 Broad Ave Memphis TN 38112-2903 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9018423161 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2366 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 381630001 | 9014485364 |
| Street Address |
2861 BROAD AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932157260 | Brent Michael Snader | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2006-05-05 |
| 1013531276 | Anqi Zheng | Student in an Organized Health Care Education/Training Program | 2861 Broad Ave, Memphis, TN 38112-2903 | 2020-06-03 |
| 1730732645 | Joy Adina Steorts | Social Worker | 2861 Broad Ave, Memphis, TN 38112-2903 | 2019-07-19 |
| 1750879599 | Scott Chandler Stewart | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-26 |
| 1952899973 | Mark Alan Dean | Dentist | 2861 Broad Ave, Memphis, TN 38112-2903 | 2018-04-25 |
| 1144609108 | Justine Rachel Johnson | Obstetrics & Gynecology | 2861 Broad Ave, Memphis, TN 38112-2903 | 2015-05-23 |
| 1629482419 | Benjamin Jones | Family Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-06-19 |
| 1245659309 | Brandon Todd | Internal Medicine | 2861 Broad Ave, Memphis, TN 38112-2903 | 2014-04-15 |
| 1972888352 | Heather Anne Stone | Nurse Practitioner | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-10-17 |
| 1659651487 | Jesse David Malott | Counselor | 2861 Broad Ave, Memphis, TN 38112-2903 | 2011-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
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| 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 |
|---|---|---|---|---|
| 1043860448 | 901 Health, Pllc | Obstetrics & Gynecology | 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 | 2019-09-17 |
| 1669860557 | Midsouth Healthcare Management | Obstetrics & Gynecology | 3249 W Sarazens Cir, Memphis, TN 38125-0807 | 2014-12-31 |
| 1104269745 | Abigail Y. Talbot | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 | 2013-04-13 |
| 1972863165 | Robin Morehead Taylor | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 | 2012-05-21 |
| 1417121013 | Dominique M Butawan-ali | Obstetrics & Gynecology | 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 | 2008-04-15 |
| 1972782670 | Ob Gyn Centers of Memphis,mpllc | Obstetrics & Gynecology | 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 | 2007-10-30 |
| 1699963249 | Stephen Eguabor Ehiremen | Obstetrics & Gynecology | 2900 Kirby Rd Ste 11, Memphis, TN 38119 | 2007-10-09 |
| 1902013238 | Carlos Zavala | Obstetrics & Gynecology | 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 | 2007-05-17 |
| 1578775359 | Laura B Haskins | Obstetrics & Gynecology | 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 | 2007-05-04 |
| 1598892325 | Memphis Midsouth Obgyn Alliance P.C. | Obstetrics & Gynecology | 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 | 2007-02-28 |
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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.