BAPTIST MEMORIAL MEDICAL GROUP INC (NPI# 1629262027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629262027 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Other Organization Name | BAPTIST MEMORIAL HEALTH SERVICES, INC. OF TENNESSEE |
| Practice Address |
1109 E Reelfoot Ave Suite A Union City TN 38261-5856 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 7318868441 |
| Practice Fax Number | 7318860956 |
| Mailing Telephone | 9012277463 |
| Mailing Fax Number | 9012275699 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | DONALD R POUNDS (CFO / SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9012277463 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3708097 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Memorial Health Services, Inc. of Tennessee | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087324 | Baptist Memorial Medical Group Inc | Pharmacy | 8040 Wolf River Blvd Ste 200, Germantown, TN 38138-1775 | 2019-01-22 |
| 1831422104 | Baptist Memorial Medical Group Inc | Surgery | 6215 Humphreys Blvd, Suite 505, Memphis, TN 38120-2367 | 2009-09-17 |
| 1306089206 | Baptist Memorial Medical Group Inc | Urology | 8970 Winchester Rd, Memphis, TN 38125-8231 | 2009-04-08 |
| 1013156173 | Baptist Memorial Medical Group Inc | Urology | 1109 E Reelfoot Ave, Suite I, Union City, TN 38261-5856 | 2009-02-13 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1689837361 | Baptist Memorial Medical Group Inc | Internal Medicine | 1995 Highway 51 S, Covington, TN 38019-3635 | 2008-07-03 |
| 1154597896 | Baptist Memorial Medical Group Inc | Psychiatry & Neurology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2008-05-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1568651297 | Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2007-10-18 |
| Street Address |
1109 E REELFOOT AVE SUITE A |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-5856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813153 | Kofi W Nuako | Internal Medicine | 1109 E Reelfoot Ave, Suite C, Union City, TN 38261-5856 | 2005-10-04 |
| 1346511011 | Kentenn Anesthesia | Nurse Anesthetist, Certified Registered | 1109 E Reelfoot Ave, Suite B, Union City, TN 38261-5856 | 2012-01-26 |
| 1588897136 | Anesthesia Partners Inc. | Specialist | 1109 E Reelfoot Ave, Union City, TN 38261-5856 | 2009-08-31 |
| 1013156173 | Baptist Memorial Medical Group Inc | Urology | 1109 E Reelfoot Ave, Suite I, Union City, TN 38261-5856 | 2009-02-13 |
| 1215187067 | Cancer Care Center of Union City | Radiology | 1109 E Reelfoot Ave, Union City, TN 38261-5856 | 2008-09-29 |
| 1780890293 | Ok Smith Jr Md Pllc | General Practice | 1109 E Reelfoot Ave, Suite H, Union City, TN 38261-5856 | 2007-05-15 |
| 1992818405 | Regal Pediatrics Pllc | Pediatrics | 1109 E Reelfoot Ave, Suite D, Union City, TN 38261-5856 | 2006-08-17 |
| 1164430872 | Emad Kamal Abdel Fattah | Pediatrics | 1109 E Reelfoot Ave, Suite D, Union City, TN 38261-5856 | 2006-08-04 |
| 1245276765 | Kofi Nuako, Md, PC | Internal Medicine | 1109 E Reelfoot Ave, Suite C, Union City, TN 38261-5856 | 2006-06-22 |
| 1679543458 | Peter Lee Katz | Specialist | 1109 E Reelfoot Ave, Suite A, Union City, TN 38261-5856 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918748 | Robert Frederick Sanner | Surgery | 1413 Forest Dr, Union City, TN 38261-1909 | 2011-10-03 |
| 1720025315 | Thomas W Jernigan IIi | Surgery | 1205 Russell St, Union City, TN 38261-5352 | 2006-06-01 |
| 1205277399 | Dicocco Surgery Pllc | Surgery | 1205 Russell St, Union City, TN 38261-5352 | 2013-07-17 |
| 1780845180 | Igor Kofman | Surgery | 3196 Kennedy Blvd, 2nd Floor, Union City, NJ 07087-2436 | 2008-06-19 |
| 1639254634 | German H Costa | Surgery | 3196 Kennedy Blvd, 2nd Floor, Union City, NJ 07087-2436 | 2006-10-26 |
| 1013001999 | Juan A Gonzalez Md Pa | Surgery | 3196 Kennedy Blvd, 2nd Floor, Union City, NJ 07087-2436 | 2006-10-03 |
| 1568556520 | Juan A Gonzalez | Surgery | 3196 Kennedy Blvd, 2nd Floor, Union City, NJ 07087-2436 | 2006-10-03 |
| 1962414268 | Jernigan Surgery Clinic Pllc | Surgery | 1205 Russell St, Union City, TN 38261-5352 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 38261 |
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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.