SPECIALTY ORTHOPEDICS P C (NPI# 1740558147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740558147 |
| Entity Type | Organization |
| Organization Name | SPECIALTY ORTHOPEDICS P C |
| Practice Address |
5210 Poplar Ave Suite 200 Memphis TN 38119-3515 |
| Practice Telephone | 9016829161 |
| Practice Fax Number | 9017679584 |
| Mailing Telephone | 9016829161 |
| Mailing Fax Number | 9017679584 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | DR. RICHARD L ENNIS (PHYSICIAN) |
| Authorized Official Telephone | 9016829161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 7341 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
5210 POPLAR AVE SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869892 | Cathy M Chapman | Specialist | 5210 Poplar Ave, Ste 150, Memphis, TN 38119-3507 | 2005-05-31 |
| 1891157624 | Lynda J Freeland, Md, Pllc | Internal Medicine | 5210 Poplar Ave, Memphis, TN 38119-3515 | 2016-03-22 |
| 1386033975 | Joshua Taylor | Physical Therapist | 5210 Poplar Ave, Suite 200, Memphis, TN 38119-3515 | 2015-01-20 |
| 1992811277 | Dermatology Group PC | Dermatology | 5210 Poplar Ave, Suite 100, Memphis, TN 38119-3515 | 2006-08-21 |
| 1255340808 | Paula F Mccormick | Registered Nurse | 5210 Poplar Ave, Suite 200, Memphis, TN 38119-3515 | 2006-08-05 |
| 1073527305 | Thredkeld Threlkeld and Omer Pllc | Internal Medicine | 5210 Poplar Ave, Suite 200, Memphis, TN 38119-3515 | 2006-07-29 |
| 1295705176 | Dan Alexander Dunaway | Dermatology | 5210 Poplar Ave, Suite 100, Memphis, TN 38119-3515 | 2006-01-24 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971154 | Msk Group, PC | Orthopaedic Surgery | 1350 Concourse Ave, Suite 363, Memphis, TN 38104 | 2017-02-13 |
| 1396828620 | Samir Riad Dawoud | Orthopaedic Surgery | 6099 Mount Moriah, Suite 4, Memphis, TN 38115 | 2006-10-23 |
| 1366485179 | Jon Mark Macnaughton | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2006-06-13 |
| 1154379659 | Michael James Heck | Orthopaedic Surgery | 496 Perkins Rd. Extended, Memphis, TN 38117-1730 | 2006-05-05 |
| 1508853250 | Kevin B Cleveland | Orthopaedic Surgery | 1211 Union Ave Ste 500, Memphis, TN 38104-6656 | 2005-09-28 |
| 1942296306 | William H Knight | Orthopaedic Surgery | 3980 New Covington Pike, Suite 200, Memphis, TN 38128-2500 | 2005-09-21 |
| 1942295985 | Bret R Sokoloff | Orthopaedic Surgery | 3980 New Covington Pike #100, Memphis, TN 38128-2513 | 2005-09-15 |
| 1700889730 | Kenneth S Weiss | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1528617768 | Msk Group, PC | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2019-09-10 |
| 1013463694 | Titan Orthopedics of Memphis, Pllc | Orthopaedic Surgery | 795 Ridge Lake Blvd, Suite 103, Memphis, TN 38120-9475 | 2016-09-01 |
| 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.