PAUL J KOLTNOW (NPI# 1619054442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619054442 |
| Entity Type | Individual |
| Full Name | PAUL J KOLTNOW |
| Credential | PA |
| Practice Address |
80 Humphreys Center Suite 200 Memphis TN 38120 |
| Mailing Address |
P.o. Box 742392 Atlanta GA 30374-2392 |
| Practice Telephone | 9015782538 |
| Practice Fax Number | 9015782572 |
| Mailing Telephone | 9012274068 |
| Mailing Fax Number | 9012274051 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1087 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 HUMPHREYS CENTER SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560288 | James K Stamps | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2005-09-29 |
| 1558765552 | Reproductive Laboratory of Tennessee, Inc. | Clinical Medical Laboratory | 80 Humphreys Center, Suite 307, Memphis, TN 38120-2363 | 2014-10-20 |
| 1295080190 | Memphis Pediatric Heart | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2012-07-17 |
| 1184945289 | Lisa W Warren | Registered Nurse | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2010-06-13 |
| 1558528174 | Joseph R Feltman | Nurse Anesthetist, Certified Registered | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2008-05-21 |
| 1659558260 | Edward S Friedman | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2008-01-25 |
| 1710186473 | Paul Robert Brezina | Obstetrics & Gynecology | 80 Humphreys Center, Suite 307, Memphis, TN 38120-2363 | 2007-07-13 |
| 1912919556 | Samuel J Feltman | Nurse Anesthetist, Certified Registered | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-08-12 |
| 1144245234 | Paul S Bierman | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-07-12 |
| 1285659383 | Kenneth I Fields | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
| 1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
| 1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
| 1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
| 1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
| 1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
| 1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
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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.