Jack W Tipton (NPI# 1487653424, PAC ID# 2961304688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1487653424 |
| PAC ID by PECOS | 2961304688 |
| Professional Enrollment ID | I20040123000127 |
| Full Name | Jack W Tipton |
| Organization Legal Name | PEDIATRIC ANESTHESIOLOGISTS P A |
| Address |
50 N Dunlap Memphis TN 38103-2800 |
| Phone Number | 9015723060 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1991 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 0941109482 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 50 N Dunlap, Memphis, TN 38103-2800 | 9015723060 | PEDIATRIC ANESTHESIOLOGISTS P A |
| 50 N Dunlap St, Memphis, TN 38103-2800 | 9015223060 | PEDIATRIC ANESTHESIOLOGISTS P A |
| Organization Legal Name | PEDIATRIC ANESTHESIOLOGISTS P A |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Edward Brezina | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Timothy Alan Head | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap, Memphis, TN 38103-2800 |
| Kristen B Davis | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| James R. Antony Bradley | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Erica Grissom | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Thomas Boyce Hamilton | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Adam P Willis | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Lilia Pereiras | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Nicole Gilmer | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Mohandas Karkera | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Street Address |
50 N DUNLAP |
| City | MEMPHIS |
| State | TN |
| Zip | 38103-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Alan Head | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap, Memphis, TN 38103-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Rhea Miller | Internal Medicine | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Tomisha Byard | Nurse Practitioner | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Matthew C Hayden | Chiropractic | 45 N 3rd St, Suite 101, Memphis, TN 38103-2354 | |
| Daniel Edward Brezina | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Kristen B Davis | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| James R. Antony Bradley | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Erica Grissom | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Thomas Boyce Hamilton | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Adam P Willis | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Lilia Pereiras | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Find all physicians in zip 38103 | |||
| City | MEMPHIS |
| Zip Code | 38103 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | MEMPHIS + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Jack W Tipton.
| 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.