ADRAIN B. BLOTNER MD PC (NPI# 1740459817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740459817 |
| Entity Type | Organization |
| Organization Name | ADRAIN B. BLOTNER MD PC |
| Practice Address |
6401 Poplar Ave Ste 316 Memphis TN 38119-4806 |
| Mailing Address |
Po Box 1000 Dept 217 Memphis TN 38148-0001 |
| Practice Telephone | 9017613255 |
| Practice Fax Number | 9013098784 |
| Mailing Telephone | 9017588145 |
| Mailing Fax Number | 9013098784 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | DR. ADRIAN B BLOTNER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9017613255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
6401 POPLAR AVE STE 316 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407017585 | Anna F. Davis, Phd | Psychologist | 6401 Poplar Ave Ste 316, Memphis, TN 38119-4806 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1417108796 | London Corporaton | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2008-10-06 |
| 1003005885 | James H Jaster | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2007-10-17 |
| 1164634978 | Monisha Dutta | Psychiatry & Neurology | 880 Madison Avenue, Memphis, TN 38103-3409 | 2007-05-04 |
| 1891911954 | Rada Petrinjac-nenadic | Psychiatry & Neurology | 5100 Sanderlin Ave, Suite 2100, Memphis, TN 38117-4387 | 2007-04-17 |
| 1306994611 | Charles Hughes Hubbert | Psychiatry & Neurology | Memphis Va Hospital, Dept. Neurology, 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-01-05 |
| 1881775799 | Butler Neurology PC | Psychiatry & Neurology | 1264 Wesley Drive, Suite 209, Memphis, TN 38116 | 2006-10-18 |
| 1477660306 | Marc David Malkoff | Psychiatry & Neurology | 855 Monroe Ave, Suite 415 Link Building, Memphis, TN 38103-4901 | 2006-08-24 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| Find all providers in MEMPHIS | ||||
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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.