Wesam F Ballouk (NPI# 1841291762, PAC ID# 4981654217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1841291762 |
| PAC ID by PECOS | 4981654217 |
| Professional Enrollment ID | I20050125000633 |
| Full Name | Wesam F Ballouk |
| Organization Legal Name | THE KIDNEY GROUP OF MEMPHIS, PLLC |
| Address |
7840 Church St Millington TN 38053-2403 |
| Phone Number | 9017261161 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991711483 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2225 Union Ave, Suite 100, Memphis, TN 38104-4391 | 9017261161 | THE KIDNEY GROUP OF MEMPHIS, PLLC |
| 3850 Austin Peay Hwy 10, Memphis, TN 38128-2517 | 9017261161 | THE KIDNEY GROUP OF MEMPHIS, PLLC |
| 7840 Church St, Millington, TN 38053-2403 | 9017261161 | THE KIDNEY GROUP OF MEMPHIS, PLLC |
| Organization Legal Name | THE KIDNEY GROUP OF MEMPHIS, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hassan Amin | Internal Medicine | The Kidney Group of Memphis, Pllc | 7840 Church St, Millington, TN 38053-2403 |
| Marc Stegman | Nephrology | The Kidney Group of Memphis, Pllc | 2225 Union Ave, Suite 100, Memphis, TN 38104-4391 |
| Audrey W Coo | Internal Medicine | The Kidney Group of Memphis, Pllc | 2225 Union Ave, Suite 100, Memphis, TN 38104-4391 |
| Street Address |
7840 CHURCH ST |
| City | MILLINGTON |
| State | TN |
| Zip | 38053-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hassan Amin | Internal Medicine | The Kidney Group of Memphis, Pllc | 7840 Church St, Millington, TN 38053-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory Wilcox | Physical Therapy | Dynamix Physical Therapy LLC | 8586 Hwy 51 N, Millington, TN 38053 |
| Nancy M Hurt | Nurse Practitioner | 8076 Hwy 51 N, Millington, TN 38053 | |
| Curtis E Damien | Chiropractic | 8110 Hwy 51 N, Suite 2, Millington, TN 38053 | |
| Cale Porter Alexander | Physical Therapy | Dynamix Physical Therapy LLC | 8586 Hwy 51 N, Millington, TN 38053 |
| Jerry R Floyd | Family Medicine | Saint Francis Physician Network, LLC | 8507 Us Hwy 51 N, Suite 107, Millington, TN 38053-1535 |
| Rosemary P Jacobs | Nurse Practitioner | Saint Francis Physician Network, LLC | 8510 Wilkinsville Rd, Suite 104, Millington, TN 38053-1538 |
| Holly Ann Oboikovitz | Optometry | West Tennessee Eye Plc | 8120 Us Hwy 51 N, Suite 7, Millington, TN 38053-1702 |
| Abdullah Baig | Internal Medicine | 8081 Hwy 51 N, Millington, TN 38053-1730 | |
| Kara Vinyard | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 8118 Us Hwy 51 N, Millington, TN 38053-1749 |
| Chester Earl Rall | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 8118 Us Hwy 51 N, Millington, TN 38053-1749 |
| Find all physicians in zip 38053 | |||
| City | MILLINGTON |
| Zip Code | 38053 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MILLINGTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Wesam F Ballouk.
| 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.