DERMATOLOGY REALM AND FAMILY PRACTICE (NPI# 1457751489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457751489 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY REALM AND FAMILY PRACTICE |
| Practice Address |
2120 Merchants Row Ste 2 Germantown TN 38138-0806 |
| Practice Telephone | 9013627170 |
| Practice Fax Number | 9013659712 |
| Mailing Telephone | 9013627170 |
| Mailing Fax Number | 9013659712 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DR. ADAM W. BAKER (MEMBER) |
| Authorized Official Telephone | 9013627170 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD36947 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE | MD36947 | 01 |
| Street Address |
2120 MERCHANTS ROW STE 2 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-0806 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992334114 | Sanitas Medical Center of Tennessee PC | Family Medicine | 9155 Poplar Ave Ste 27, Germantown, TN 38138-7910 | 2020-04-08 |
| 1649823188 | Tenin A Maglo | Family Medicine | 20124 Club Hill Dr, Germantown, MD 20874-1133 | 2019-07-23 |
| 1982176830 | Paul Jonathan White | Family Medicine | 12108 Stardrift Dr, Germantown, MD 20876-5916 | 2018-12-17 |
| 1508198243 | William Duer Burton | Family Medicine | 7118 Bell Manor Cv, Germantown, TN 38138-1900 | 2010-02-05 |
| 1710159694 | Kelly A Yannizzi | Family Medicine | 9047 Poplar Ave Ste 105, Germantown, TN 38138-6401 | 2008-03-31 |
| 1871703843 | Jose J Hernandez Ford | Family Medicine | 1910 Chatsworth Dr, Germantown, TN 38138-2665 | 2007-05-22 |
| 1891827390 | Cqrnell Charles Faquin | Family Medicine | 2749 Hunters Dr, Germantown, TN 38138-6224 | 2007-03-10 |
| 1720134406 | Jamshid Sheikh | Family Medicine | 20528 Boland Farm Road Suite 104, Richard N Katon and Associates Md PC, Germantown, MD 20876 | 2007-01-26 |
| 1285795120 | Asghar A Farsaii | Family Medicine | 20629 Boland Farn Road, Germantown, MD 20874 | 2006-12-13 |
| 1982775417 | Avni Jain | Family Medicine | 19735 Germantown Road, Suite 310, Germantown, MD 20874 | 2006-11-13 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.