DR. PETER JAMES BLATZ (NPI# 1134204662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134204662 |
| Entity Type | Individual |
| Full Name | DR. PETER JAMES BLATZ |
| Credential | MD |
| Practice Address |
2574 Frayser Blvd Memphis TN 38127-5829 |
| Mailing Address |
4095 American Way Suite 1 Memphis TN 38118-8339 |
| Practice Telephone | 9012719500 |
| Mailing Telephone | 9012719500 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0106407A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
54902 | TN | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
23646 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
2574 FRAYSER BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820123 | Tolan Vu | Family Medicine | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2005-09-07 |
| 1922605435 | Vonetta Kentia Williams | Nurse Practitioner | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2020-10-07 |
| 1932712692 | Darnesha Shundrika Mcgrew | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2020-08-24 |
| 1861030926 | Chandria Rae Houston | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-12-19 |
| 1972141067 | Teisha Lashae Pendleton | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-12-19 |
| 1386280964 | Wilkena Dickerson | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-11-19 |
| 1427691682 | Angela Arnold | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-10-21 |
| 1275183246 | Moniqua Toquana Hudson | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-09-12 |
| 1134789506 | Nakia Danielle Stewart | Licensed Practical Nurse | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-06-18 |
| 1750940524 | Tyesh Ward | Nurse's Aide | 2574 Frayser Blvd, Memphis, TN 38127-5829 | 2019-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558777821 | Inderjeet Singh Brar | Internal Medicine | 6027 Walnut Grove Rd Ste 312, Memphis, TN 38120-2128 | 2014-07-08 |
| 1316195241 | Internal Medicine & Infectious Diseases Specialists, Pllc | Internal Medicine | 6005 Park Ave Ste 429b, Memphis, TN 38119 | 2008-09-04 |
| 1932303856 | Muhammad Aijaz Khurshid | Internal Medicine | 3960 Knight Arnold Rd Ste 215, Memphis, TN 38118-3000 | 2007-06-13 |
| 1962554840 | Memphis Infectious Diseases Consultants, Pllc | Internal Medicine | 1331 Union Ave Ste 1023, Memphis, TN 38104-7509 | 2007-01-18 |
| 1720196058 | David Lewis George | Internal Medicine | 4133 Kriter Ln, Memphis, TN 38117-3616 | 2006-08-28 |
| 1356318059 | Imad Omer | Internal Medicine | 6029 Walnut Grove Rd # C002, Memphis, TN 38120-2112 | 2006-03-02 |
| 1619971637 | Bryan Paul Simmons | Internal Medicine | 176 S Bellevue Blvd, Suite 603, Memphis, TN 38104-3424 | 2005-06-08 |
| 1649512468 | Nathan Alan Summers | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2013-03-19 |
| 1619243680 | Christian Jan Fuchs | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2012-03-23 |
| 1891016283 | Tejal Mayur Patel | Internal Medicine | 1030 Jefferson Ave, Memphis, TN 38104 | 2010-06-20 |
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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.