DR. COREY SHANE MCGLOTHAN (NPI# 1609985522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609985522 |
| Entity Type | Individual |
| Full Name | DR. COREY SHANE MCGLOTHAN |
| Credential | M.D. |
| Practice Address |
1264 Wesley Dr Ste 402 Memphis TN 38116-6400 |
| Practice Telephone | 9013965577 |
| Practice Fax Number | 9013965585 |
| Mailing Telephone | 9013965577 |
| Mailing Fax Number | 9013965585 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
207VX0000X | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3886979 | 05 |
| Street Address |
1264 WESLEY DR STE 402 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453720 | Jean-claude Loiseau | Surgery | 1264 Wesley Dr, Ste 304, Memphis, TN 38116-6400 | 2005-08-09 |
| 1033642285 | D Katrina Mitchell King | Nurse Practitioner | 1264 Wesley Dr, Suite 402, Memphis, TN 38116-6400 | 2017-04-05 |
| 1821534058 | Dr. Alim Khandekar Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1264 Wesley Dr, Suite 201, Memphis, TN 38116-6400 | 2017-01-11 |
| 1255602587 | Spg II LLC | Obstetrics & Gynecology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2012-01-18 |
| 1770895591 | Methodist Specialty Physician Vi | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2010-07-09 |
| 1548580509 | Charlotte R Drake | Nurse Practitioner | 1264 Wesley Dr, Suite 501, Memphis, TN 38116-6400 | 2010-06-01 |
| 1255561874 | Maryland Hunter | Nurse Practitioner | 1264 Wesley Dr, Ste 402, Memphis, TN 38116-6400 | 2009-07-16 |
| 1396991832 | Memphis Retina, Pllc | Ophthalmology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-08-15 |
| 1134386592 | Sharif Ashanti Abdus-salaam | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-05-21 |
| 1982897492 | Gastroenterology Consultants. P.C. | Specialist | 1264 Wesley Dr, Suite 602, Memphis, TN 38116-6400 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
| 1588715254 | Deidrea Latrice Grandberry | Obstetrics & Gynecology | 7705 Poplar Ave, Ste 150 Bldg B, Memphis, TN 38138-3930 | 2007-01-16 |
| 1669575064 | Joseph Keith Lawrence | Obstetrics & Gynecology | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2006-09-07 |
| 1033121413 | Claudia Leonard Moise | Obstetrics & Gynecology | 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120-2367 | 2006-08-13 |
| 1245242221 | Marva L Souder | Obstetrics & Gynecology | 2900 Kirby Rd, Suite 11, Memphis, TN 38119-8221 | 2006-08-11 |
| 1710998729 | Susan Northern Lacy | Obstetrics & Gynecology | 6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 | 2006-08-11 |
| 1972514578 | Jessica M. Ruffin | Obstetrics & Gynecology | 1727 Kirby Parkway, Suite 200, Memphis, TN 38120 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
| 1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
| 1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
| 1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
| 1104242262 | Stephanie Huskins | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. COREY SHANE MCGLOTHAN.
| 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.