Casey Shane Taylor (NPI# 1790044147, PAC ID# 6800179904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1790044147 |
| PAC ID by PECOS | 6800179904 |
| Professional Enrollment ID | I20170216000279 |
| Full Name | Casey Shane Taylor |
| Organization Legal Name | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| Address |
200 W Tyler Ave West Memphis AR 72301-4223 |
| Phone Number | 87073515001140 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830123736 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 040019 | FORREST CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5190 Park Ave, Memphis, TN 38119-3500 | 9017670505 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 5959 Park Ave, Memphis, TN 38119-5200 | 9017652191 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 6005 Park Ave, Suite 101b, Memphis, TN 38119-5206 | 9016853114 | EAST MEMPHIS PET IMAGING LLC |
| 7420 Guthrie N Dr, Suite 105, Southaven, MS 38671-5857 | 6623494321 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| 200 W Tyler Ave, West Memphis, AR 72301-4223 | 87073515001140 | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| Organization Legal Name | MEMPHIS PHYSICIANS RADIOLOGICAL GROUP PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cina Joseph Ali | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| Michael K Muhlert | Interventional Radiology | Memphis Physicians Radiological Group PC | 7420 Guthrie N Dr, Suite 105, Southaven, MS 38671-5857 |
| Loi Thien Vu | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 5190 Park Ave, Memphis, TN 38119-3500 |
| James E Thomas | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 5190 Park Ave, Memphis, TN 38119-3500 |
| Mark R Mills | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 5190 Park Ave, Memphis, TN 38119-3500 |
| Bhumin J Patel | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| William Coleman Rice Jr. | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| Venu Vadlamudi | Interventional Radiology | Memphis Physicians Radiological Group PC | 7420 Guthrie N Dr, Suite 105, Southaven, MS 38671-5857 |
| Street Address |
200 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip | 72301-4223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cina Joseph Ali | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| Bhumin J Patel | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| William Coleman Rice Jr. | Diagnostic Radiology | Memphis Physicians Radiological Group PC | 200 W Tyler Ave, West Memphis, AR 72301-4223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen E Bryant Jr. | Ophthalmology | 303 W Polk St, West Memphis, AR 72301 | |
| Mary E Tolleson | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Candace M Wright | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kevin Holt | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Kelly M Key | Physical Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Beverly Anne Vaughn | Occupational Therapy | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Sharon B Goode | Speech Language Pathologist | Holt Therapy and Wellness, Pllc | 310 Mid Continent Plz, Suite 185, West Memphis, AR 72301-1700 |
| Oscar Ramos | Optometry | 798 W Service Rd, West Memphis, AR 72301-1727 | |
| Lydia Margarita Makapugay | Pathology | Poplar Healthcare Pllc | 260 Shoppingway Blvd, Suite 7, West Memphis, AR 72301-1736 |
| Devonda Yvonne Reimonenq | Clinical Social Worker | 310 Mid Continent Plz, Suite 400, West Memphis, AR 72301-1760 | |
| Find all physicians in zip 72301 | |||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WEST MEMPHIS + DIAGNOSTIC RADIOLOGY |
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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.