METHODIST SPECIALTY PHYSICIAN VI (NPI# 1770895591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770895591 |
| Entity Type | Organization |
| Organization Name | METHODIST SPECIALTY PHYSICIAN VI |
| Other Organization Name | METHODIST SHOULDER & ORTHOPAEDIC SURGERY |
| Practice Address |
1264 Wesley Dr Suite 302 Memphis TN 38116-6400 |
| Mailing Address |
Po Box 1000 Dept 970 Memphis TN 38148-1000 |
| Practice Telephone | 9012602072 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | SHARIF A ABDUS-SALAAM (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2024215138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST HEALTHCARE PRIMARY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| METHODIST SHOULDER & ORTHOPAEDIC SURGERY | Doing Business As Name - Organization |
| Street Address |
1264 WESLEY DR SUITE 302 |
| 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 |
| 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 |
| 1295926590 | Crescent Medical Inc. | Internal Medicine | 1264 Wesley Dr, Suite 501, Memphis, TN 38116 | 2007-08-05 |
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| 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 | 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 |
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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.