Debendra N Pattanaik (NPI# 1447222880, PAC ID# 2062496904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1447222880 |
| PAC ID by PECOS | 2062496904 |
| Professional Enrollment ID | I20080514000752 |
| Full Name | Debendra N Pattanaik |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Address |
1211 Union Ave Suite 200 Memphis TN 38104-6654 |
| Phone Number | 9015250278 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 0941480131 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1211 Union Ave, Suite 200, Memphis, TN 38104-6654 | 9015250278 | PRIMARY CARE GROUP, LLC |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Penina Danziger | Nurse Practitioner | Primary Care Group, LLC | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 |
| Nora E Maldonado | Family Medicine | Primary Care Group, LLC | 9047 Poplar Ave, Suite 105, Germantown, TN 38138-6401 |
| Jeffrey E Banham | Nurse Practitioner | Primary Care Group, LLC | 2589 Appling Rd, Suite 101, Bartlett, TN 38133-5099 |
| Kyle W Kimbrough | Physician Assistant | Primary Care Group, LLC | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 |
| Regina Forbess Goulder | Nurse Practitioner | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Michelle D Kitson | Internal Medicine | Primary Care Group, LLC | 5182 Sanderlin Ave, Suite 3, Memphis, TN 38117-4354 |
| Julie W Crafton | Nurse Practitioner | Primary Care Group, LLC | 7690 Wolf River Circle, Germantown, TN 38138-1744 |
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Street Address |
1211 UNION AVE SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-6654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Reed | General Practice | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Stephanie A Connelly | Internal Medicine | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Raza Askari | Interventional Cardiology | Specialty Physician Group LLC | 1211 Union Ave, Suite 475, Memphis, TN 38104-6655 |
| Miriam Tsao | Surgical Oncology | Ut Methodist Physicians LLC | 1211 Union Ave, Suite 300, Memphis, TN 38104-6655 |
| Cynthia H Nichols | Nurse Practitioner | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Miklos Zsolt Molnar | Nephrology | Ut Methodist Physicians LLC | 1211 Union Ave, Suite 300, Memphis, TN 38104-6655 |
| Emily Peters | Nurse Practitioner | Specialty Physician Group LLC | 1211 Union Ave, Suite 965, Memphis, TN 38104-6638 |
| Terri D Alford | Internal Medicine | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Rajesh Kabra | Cardiac Electrophysiology | Specialty Physician Group LLC | 1211 Union Ave, Suite 475, Memphis, TN 38104-6655 |
| Jana P Robinson | Emergency Medicine | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | MEMPHIS + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Debendra N Pattanaik.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.