BAPTIST MEMORIAL MEDICAL GROUP INC (NPI# 1881870368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881870368 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Practice Address |
1500 W Poplar Ave Suite 308 Collierville TN 38017-0601 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 9018619280 |
| Practice Fax Number | 9018619271 |
| Mailing Telephone | 9012277463 |
| Mailing Fax Number | 9012275699 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-05-29 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1629262027 | Baptist Memorial Medical Group Inc | Internal Medicine | 1109 E Reelfoot Ave, Suite A, Union City, TN 38261-5856 | 2007-08-29 |
| Street Address |
1500 W POPLAR AVE SUITE 308 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569034 | Joy C Burbeck | Internal Medicine | 1500 W Poplar Ave, Ste 206, Collierville, TN 38017-0601 | 2005-06-21 |
| 1669794574 | Collierville Family Medicine PC | Family Medicine | 1500 W Poplar Ave, Suite 310, Collierville, TN 38017-0601 | 2010-02-18 |
| 1417117433 | Southern Spine Specialists, Pllc | Orthopaedic Surgery | 1500 W Poplar Ave, Suite 201, Collierville, TN 38017-0601 | 2008-06-12 |
| 1972761302 | Tommy C. Thompson,m.d. | Urology | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 | 2008-06-02 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1912197252 | Bharat R Patel | Respiratory Therapist, Registered | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-08-01 |
| 1285835645 | Lynda Pelot Mcallister | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-05-31 |
| 1912126889 | Deanne Elisabeth Hettinger | Occupational Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-25 |
| 1821216300 | Sean Ichael Oconnell | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| 1558589051 | Dwana Jeane Desanctis | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596549 | Althy Living Plus LLC | Family Medicine | 335 Poplar View Ln E # 1, Collierville, TN 38017-3192 | 2019-06-11 |
| 1548307788 | Paul Parker Williams | Family Medicine | 335 Poplar View Ln E, #1, Collierville, TN 38017-3192 | 2007-01-30 |
| 1568406551 | John D Crawford | Family Medicine | 790 West Poplar Avenue, Suite 1, Collierville, TN 38017 | 2006-06-16 |
| 1447200464 | Fidel Deleon Makapugay | Family Medicine | 491 W Poplar Ave, Collierville, TN 38017-2537 | 2006-05-11 |
| 1336121318 | Tamra L Smith | Family Medicine | 853 W Poplar Ave, Collierville, TN 38017-2545 | 2005-11-16 |
| 1659364545 | Julian Venegas | Family Medicine | 400 Market Blvd Ste 101, Collierville, TN 38017-6516 | 2005-08-25 |
| 1821090549 | Robert Cheatham Ballard | Family Medicine | 151 N Main St, Collierville, TN 38017-2670 | 2005-08-12 |
| 1508496340 | Dianelys Martinez | Family Medicine | 1458 W Poplar Ave Ste 205, Collierville, TN 38017-0631 | 2020-01-21 |
| 1154612950 | Sonya Walker Chehardy | Family Medicine | 790 W Poplar Ave, Ste #1, Collierville, TN 38017-2544 | 2011-04-27 |
| 1669794574 | Collierville Family Medicine PC | Family Medicine | 1500 W Poplar Ave, Suite 310, Collierville, TN 38017-0601 | 2010-02-18 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on BAPTIST MEMORIAL MEDICAL GROUP INC.
| 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.