MID SOUTH PAIN AND ANESTHESIA CLINIC (NPI# 1093131401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093131401 |
| Entity Type | Organization |
| Organization Name | MID SOUTH PAIN AND ANESTHESIA CLINIC |
| Practice Address |
6005 Park Ave Suite 502 Memphis TN 38119-5202 |
| Mailing Address |
Po Box 382067 Germantown TN 38183-2067 |
| Practice Telephone | 9012122579 |
| Practice Fax Number | 9017617738 |
| Mailing Telephone | 9018210338 |
| Mailing Fax Number | 9017617738 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | PHILLIP EDWARD GREEN (OWNER) |
| Authorized Official Telephone | 9012122579 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 017865 | TN | Suppliers |
| Street Address |
6005 PARK AVE SUITE 502 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1023552387 | Mary Hamm | Social Worker | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-12-06 |
| 1427501147 | Michelle Colette Gammill | Physician Assistant | 6005 Park Ave, Suite 500b, Memphis, TN 38119-5202 | 2016-07-28 |
| 1659732063 | Jennifer Wineland Rich | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-03-11 |
| 1033581764 | Sue Stovall | Registered Nurse | 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | 2015-10-21 |
| 1497121990 | Vogelfanger and Struble Clinic, Pllc | Nurse Practitioner | 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 | 2015-08-19 |
| 1801297551 | Robert W Greene Jr Md PC | Physical Medicine & Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 | 2014-09-12 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| 1457793457 | Aftab A Shaikh Md-cardiology PC | Internal Medicine | 6005 Park Ave, Suite 906, Memphis, TN 38119-5202 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| 1316566490 | Anointed Crown | Durable Medical Equipment & Medical Supplies | 2696 Central Ter, Memphis, TN 38111-1614 | 2020-04-09 |
| 1366007593 | Newsome and Associates, Inc | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 215, Memphis, TN 38111-3524 | 2019-05-02 |
| 1154820397 | Advanced Orthopedic Alliance | Durable Medical Equipment & Medical Supplies | 415 S Front St, Memphis, TN 38103-6404 | 2018-02-02 |
| 1932617750 | Patterson and Associates | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 214, Memphis, TN 38111-3524 | 2018-01-15 |
| 1114442266 | Crowdconomy, LLC | Durable Medical Equipment & Medical Supplies | 7124 Crestridge Rd, Memphis, TN 38119-8706 | 2017-08-10 |
| 1659893915 | Maymacs, Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 704, Memphis, TN 38119-5217 | 2017-07-08 |
| 1720509185 | All About Homecare, LLC | Durable Medical Equipment & Medical Supplies | 1320 Jackson Ave, Memphis, TN 38107-4351 | 2017-07-06 |
| 1598285264 | Alliance Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1266 Sycamore View Rd Ste 101, Memphis, TN 38134-7664 | 2017-06-23 |
| 1316496250 | Jimmy Clyce Weatherly Jr. | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave, Suite 14, Memphis, TN 38118-6023 | 2016-10-03 |
| Find all providers in MEMPHIS | ||||
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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.