Shelly L Bryant Thannum (NPI# 1861597742, PAC ID# 8022051556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1861597742 |
| PAC ID by PECOS | 8022051556 |
| Professional Enrollment ID | I20050606001177 |
| Full Name | Shelly L Bryant Thannum |
| Organization Legal Name | MEDICAL ANESTHESIA GROUP, PA |
| Address |
2596 Interstate 55 Marion AR 72364-2327 |
| Phone Number | 8705592006 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9436047685 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2596 Interstate 55, Marion, AR 72364-2327 | 8705592006 | MEDICAL ANESTHESIA GROUP, PA |
| 1265 Union Ave, Memphis, TN 38104-3415 | 9015167000 | MEDICAL ANESTHESIA GROUP, PA |
| 1300 Wesley Dr, Memphis, TN 38116-6426 | 9015163700 | MEDICAL ANESTHESIA GROUP, PA |
| 7691 Poplar Ave, Memphis, TN 38138-3904 | 9015166418 | MEDICAL ANESTHESIA GROUP, PA |
| Organization Legal Name | MEDICAL ANESTHESIA GROUP, PA |
| Physicians | 134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonni Shingles | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Michael Fisher | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Shannon N Noblin | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jeffrey A Blalack | Diagnostic Radiology | Medical Anesthesia Group, Pa | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| James R Burch | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Brendan B. Mckinney | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jennifer S Nathaniel | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| David H Reid | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Robert A Crone | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Sara M Midyett | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Street Address |
2596 INTERSTATE 55 |
| City | MARION |
| State | AR |
| Zip | 72364-2327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randelon D Smith | Gastroenterology | Gastrointestinal Specialists Foundation, Inc. | 1229 Hwy 77 1, Marion, AR 72364 |
| Ilsa Sanchez | General Practice | 200 E Military Rd, Marion, AR 72364-1751 | |
| Jacinta Iwuji | Nurse Practitioner | Kejo Medical Pllc | 200 E Military Rd-ste, 1 Marion Primary Care Clinic, Marion, AR 72364-1828 |
| Oluchi Ezeume | Nurse Practitioner | Kejo Medical Pllc | 200 E Military Rd-ste, 1 Marion Primary Care Clinic, Marion, AR 72364-1828 |
| Jacquelyn D Gilbert | Physical Therapy | 250 Manor St, Marion, AR 72364-1936 | |
| Fallon E Wyatt | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| Kristy Anne Whited | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| Micheal D Charlton | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| David M Brick | Occupational Therapy | Fenter Physical Therapy LLC | 2860 I55 Service Rd, Suite C, Marion, AR 72364-2110 |
| Matthew B Tharp | Physical Therapy | Fenter Physical Therapy LLC | 2860 I55 Service Rd, Suite C, Marion, AR 72364-2110 |
| Find all physicians in zip 72364 | |||
| City | MARION |
| Zip Code | 72364 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MARION + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Shelly L Bryant Thannum.
| 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.