MILLINGTON PEDIATRICS, PC (NPI# 1457590192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457590192 |
| Entity Type | Organization |
| Organization Name | MILLINGTON PEDIATRICS, PC |
| Practice Address |
8222 Us Highway 51 N Millington TN 38053-1708 |
| Practice Telephone | 9018730700 |
| Practice Fax Number | 9018730711 |
| Mailing Telephone | 9018730700 |
| Mailing Fax Number | 9018730711 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | ABUBAKER M NAIDA (OWNER) |
| Authorized Official Telephone | 9018730700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
40393 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 466407 | 01 |
| Street Address |
8222 US HIGHWAY 51 N |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38053-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 1801457676 | Cale Porter Alexander | Physical Therapist | 8586 Highway 51 North, Millington, TN 38053 | 2019-06-24 |
| 1477957660 | Community Chiropractic | Chiropractor | 8110 Hwy 51 North, Suite 2, Millington, TN 38053 | 2014-10-16 |
| 1861739344 | Lydia A Sharpe | Pharmacist | 8039 Highway 51 North, Millington, TN 38053 | 2013-01-03 |
| 1063666261 | Phylliss Lamora Flowers | Nurse Practitioner | 7889 Astoria Rd, Millington, TN 38053 | 2008-11-14 |
| 1649447871 | William David Algea | Pediatrics | 8081 Highway 51 North, Millington, TN 38053 | 2008-05-15 |
| 1306051248 | Leader Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 8253 Highway 51 North, Suite 102, Millington, TN 38053 | 2007-05-14 |
| 1750406658 | Tammy E. Keough | Nurse Practitioner | 7889 Astoria, Millington, TN 38053 | 2007-03-20 |
| 1760516017 | West Tennessee Eye, Plc | Optometrist | 8120 Hwy 51n, Ste 7, Millington, TN 38053 | 2007-03-16 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| Find all providers in zip 38053 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1518470780 | Ashley Poynor | Pediatrics | 853 Jefferson Ave # Route206, Memphis, TN 38103-2807 | 2017-11-09 |
| 1528300431 | Kent Avery Willis | Pediatrics | 853 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2013-03-19 |
| 1659638310 | Jennifer Michelle Davidson | Pediatrics | 853 Jefferson Ave Ste 201, Memphis, TN 38103 | 2012-04-19 |
| 1619265956 | Susan Marie Lopata | Pediatrics | 2200 Childrens Way # 11111, Nashville, TN 37232-0005 | 2011-07-20 |
| 1346530763 | Anna Kathryn Slagle | Pediatrics | Methodist Lebonheur Germantown Hospital, 7691 Poplar Avenue, Germantown, TN 38138 | 2011-04-19 |
| 1003137571 | Mimily Harsono | Pediatrics | University of Tennessee (division of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 | 2010-06-18 |
| 1487835229 | Sandeep K. Chilakala | Pediatrics | 853 Jefferson Avenue, Suite 201, Memphis, TN 38103 | 2007-11-20 |
| 1215138326 | Lane Ashley Douglass | Pediatrics | 2300 Patterson St., Nashville, TN 37203-0004 | 2007-05-29 |
| 1679787204 | Stephaine Hale Walker | Pediatrics | Vanderbilt Childrens Hospital, Dept of Neonatology, 11111 Doctor's Office Tower, Nashville, TN 37232-0001 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 38053 |
Please comment or provide details below to improve the information on MILLINGTON PEDIATRICS, PC.
| 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.