Amanda M Decrow (NPI# 1144504465, PAC ID# 4385876523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1144504465 |
PAC ID by PECOS | 4385876523 |
Professional Enrollment ID | I20140422001367 |
Full Name | Amanda M Decrow |
Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
Address |
1407 Union Ave Memphis TN 38104-3600 |
Phone Number | 9018668668 |
Gender | F |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 7719173939 |
Number of Group Practice Members | 117 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1407 Union Ave, Memphis, TN 38104-3600 | 9018668668 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 9018668668 | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
Organization Legal Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
Physicians | 176 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin S Hendrickson | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap, Suite 235, Memphis, TN 38105 |
Eileen F Smith | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 4055 N Park Loop, Memphis, TN 38152-4220 |
Casandra B Banks | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
Benjamin R Waller Iii | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Jennifer D Mclevy-bazzanella | Otolaryngology | Ut Lebonheur Pediatric Specialists, Inc. | 51 N Dunlap St, Memphis, TN 38105-4624 |
Glenn T Wetzel | Cardiovascular Disease (cardiology) | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Mark C Bugnitz | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Miriam Vanmersbergen | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Shantaveer Gangu | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Tonia Elizabeth Gardner | Neurology | Ut Lebonheur Pediatric Specialists, Inc. | 848 Adams Ave, Memphis, TN 38103-2816 |
Street Address |
1407 UNION AVE |
City | MEMPHIS |
State | TN |
Zip | 38104-3600 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clifford W Sims | Ophthalmology | 1407 Union Ave, Suite 1003, Memphis, TN 38104-3678 | |
Charlotte M Freeman | Psychologist, Clinical | 1407 Union Ave, Suite 1501, Memphis, TN 38104-3644 | |
Angela D Watson | Internal Medicine | 1407 Union Ave, Suite 1007, Memphis, TN 38104-3664 | |
Jesse M Wesberry | Ophthalmology | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Elliott M Kanner | Ophthalmology | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Sheetal M Patel | Family Medicine | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Rena M Booth | Qualified Audiologist | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Ankur Markand Sharma | Radiation Oncology | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Hieu Vo | Nephrology | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
Kourtney Houser | Ophthalmology | Ut Medical Group, Inc. | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 |
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 | CLINICAL PSYCHOLOGIST |
City + Specialty | MEMPHIS + CLINICAL PSYCHOLOGIST |
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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.