DR. JAN H PETRI (NPI# 1033175682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033175682 |
| Entity Type | Individual |
| Full Name | DR. JAN H PETRI |
| Credential | MD |
| Practice Address |
2028 W Poplar Ave Ste 112 Collierville TN 38017-0618 |
| Mailing Address |
9554 Fox Hill Cir S Germantown TN 38139-6829 |
| Practice Telephone | 9018612526 |
| Practice Fax Number | 9018612527 |
| Mailing Telephone | (901) 861-2526 |
| Mailing Fax Number | 9018612527 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 17612 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3073227 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5625 Poplar Ave, Memphis, TN 381193816 | 9017611220 | 9017634332 |
| Street Address |
2028 W POPLAR AVE STE 112 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654752 | Jaya Venkataraman | Emergency Medicine | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2005-07-28 |
| 1144746249 | Jan H. Petri Md, Pllc | Otolaryngology | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2017-08-21 |
| 1164947693 | Fast Track Speech Therapy Pllc | Speech-Language Pathologist | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2017-08-05 |
| 1225561301 | Kathryn Alexis Struminger | Speech-Language Pathologist | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2017-04-06 |
| 1104142975 | Audra Brynn Downs | Nurse Practitioner | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144746249 | Jan H. Petri Md, Pllc | Otolaryngology | 2028 W Poplar Ave Ste 112, Collierville, TN 38017-0618 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622396 | Ear, Nose & Throat Specialists of Nashville At Goodlettsville | Otolaryngology | 3050 Business Park Cir Ste 101, Goodlettsville, TN 37072-3588 | 2017-07-18 |
| 1386011468 | Wiliam Gray Davis | Otolaryngology | 5709 Hearthstone Ln, Brentwood, TN 37027-4313 | 2015-08-25 |
| 1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
| 1821231572 | John Heaphy | Otolaryngology | Vumc Dept of Oto Med Ctr East South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232-8605 | 2009-04-10 |
| 1023262466 | Alexander Gelbard | Otolaryngology | Vanderbilt Voice Ctr, 1215 21rst Ave. South. Suite 7302, Nashville, TN 37232-8783 | 2008-11-12 |
| 1699938886 | Jonathan P Hayes | Otolaryngology | 9430 Park West Blvd Ste 330, Knoxville, TN 37923-4203 | 2008-07-08 |
| 1780869735 | Denneny Ent Consultants, Pllc | Otolaryngology | 101 E Blount Ave Ste G10, Knoxville, TN 37920-1637 | 2008-01-08 |
| 1154505428 | Clyde Columbus Mathison II | Otolaryngology | 144 Concord Rd Dept Of, Farragut, TN 37934-2901 | 2007-12-21 |
| 1326242975 | David Allen Gilpin | Otolaryngology | 2301 21st Ave S Ste 300, Nashville, TN 37212-4946 | 2007-06-14 |
| 1407057276 | Mid-south Ear, Nose, and Throat, P.C. | Otolaryngology | 7600 Wolf River Blvd Ste 220, Germantown, TN 38138-1788 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.