Mark Castellaw (NPI# 1114928793, PAC ID# 6709968704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1114928793 |
PAC ID by PECOS | 6709968704 |
Professional Enrollment ID | I20100329000270 |
Full Name | Mark Castellaw |
Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
Address |
790 W Poplar Ave Suite 1 Collierville TN 38017-2544 |
Phone Number | 9018539700 |
Gender | M |
Graduation Year | 1981 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 5193610228 |
Number of Group Practice Members | 338 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440048 | BAPTIST MEMORIAL HOSPITAL |
440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
790 W Poplar Ave, Suite 1, Collierville, TN 38017-2544 | 9018539700 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
8040 Wolf River Blvd, Suite 200, Germantown, TN 38138-1775 | 9017260200 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
8970 Winchester Rd, Memphis, TN 38125-8231 | 9017945806 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
Physicians | 323 |
Name | Specialty | Organization | Address |
---|---|---|---|
Connie Harris Scurti | Internal Medicine | Baptist Memorial Medical Group, Inc. | 255 Baptist Blvd, Columbus, MS 39705-2006 |
Joseph Andrew Freeman | Family Medicine | Baptist Memorial Medical Group, Inc. | 1995 Hwy 51 S 203, Covington, TN 38019-3655 |
Robert Alejo Armada | Obstetrics/gynecology | Baptist Memorial Medical Group, Inc. | 1312 Bishop St, Union City, TN 38261-5406 |
Jacob Drew Gaskin | Physical Therapy | Baptist Memorial Medical Group, Inc. | 1111 Union Ave, Memphis, TN 38104-6646 |
Katherine E Waters | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 |
Carrington E Campbell | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 112 Medical Arts Dr, Calhoun City, MS 38916-9721 |
Andrea Jones | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 6025 Walnut Grove Rd, Suite 627, Memphis, TN 38120-2126 |
Jenny Doza | Physical Therapy | Baptist Memorial Medical Group, Inc. | 2100 Exeter Rd, Germantown, TN 38138-3966 |
Jeana L Whitacre | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 2402 5th St N, Columbus, MS 39705-2000 |
Jennifer B. Warren | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 7736 Airways Blvd, Southaven, MS 38671-5306 |
Street Address |
790 W POPLAR AVE SUITE 1 |
City | COLLIERVILLE |
State | TN |
Zip | 38017-2544 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Crawford | Family Medicine | Baptist Memorial Medical Group, Inc. | 790 W Poplar Ave, Suite 1, Collierville, TN 38017-2544 |
Emily Mewborn | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 790 W Poplar Ave, Suite 1, Collierville, TN 38017-2544 |
Allison P Swanson | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 790 W Poplar Ave, Suite 1, Collierville, TN 38017-2544 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joe R Krisle Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
Aleksandar Jankov | Hematology/oncology | Baptist Memorial Medical Group, Inc. | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Monam B Awan | Family Medicine | Southeastern Emergency Physicians LLC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Jesse N Lee | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Jennifer A Childers | Physician Assistant | Delta Orthopaedics and Sports Medicine, Pllc | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Anurag Mehrotra | Pulmonary Disease | Memphis Lung Physicians Foundation, Inc. | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 |
Charles H Gairhan | Anesthesiology | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Sunni D Hurst | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Christopher Dautrive Duperier | Anesthesiology | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Salil Goorha | Hematology/oncology | Baptist Memorial Medical Group, Inc. | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
Find all physicians in zip 38017 |
City | COLLIERVILLE |
Zip Code | 38017 |
Specialty | INTERNAL MEDICINE |
City + Specialty | COLLIERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark Castellaw.
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.