Joe R Krisle Jr. (NPI# 1285749689, PAC ID# 7113965088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1285749689 |
| PAC ID by PECOS | 7113965088 |
| Professional Enrollment ID | I20050420001418 |
| Full Name | Joe R Krisle Jr. |
| Organization Legal Name | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Address |
1500 W Poplar Collierville TN 38017-0601 |
| Phone Number | 9018502128 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9133106396 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 1500 W Poplar, Collierville, TN 38017-0601 | 9018502128 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 7600 Wolf River Blvd, Suite 200, Germantown, TN 38138-1784 | 9017471000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 9017471000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 9012279000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Organization Legal Name | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyson Stone | Nurse Practitioner | Mid South Imaging and Therapeutics Pa | 7601 Southaven Cir W, Southaven, MS 38671-5223 |
| Joseph C Sullivan Iii | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Lindsay M Barton | Nurse Practitioner | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Alan J Mcleod | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Daniel A Craven Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Craig L Lipman | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Allen K Tonkin | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| John A Scott | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Amit S Bhakoo | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Lauren A Delgado Hardegree | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Street Address |
1500 W POPLAR |
| City | COLLIERVILLE |
| State | TN |
| Zip | 38017-0601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen K Tonkin | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| Virginia S Owen | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| Errol Lewis | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Jennifer Kettler | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 1500 W Poplar Ave, Collierville, TN 38017-0601 |
| Find all physicians in zip 38017 | |||
| City | COLLIERVILLE |
| Zip Code | 38017 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COLLIERVILLE + 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.