DR. STEPHENY D. BERRY (NPI# 1144421140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144421140 |
| Entity Type | Individual |
| Full Name | DR. STEPHENY D. BERRY |
| Credential | MD |
| Practice Address |
1407 Union Ave Suite 200 Memphis TN 38104-3627 |
| Mailing Address |
1407 Union Ave Suite 640 Memphis TN 38104-3627 |
| Practice Telephone | 9018668813 |
| Practice Fax Number | 9013022120 |
| Mailing Telephone | 9018668372 |
| Mailing Fax Number | 9013022372 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
44649 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1407 UNION AVE SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427014695 | Gayle Minard | Surgery | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-25 |
| 1174589980 | Frances Elizabeth Pritchard | Surgery | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380744 | Davis Pappandreou Berry | Surgery | University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920-0000 | 2013-04-16 |
| 1285679076 | Mid-south Surgery Associates, Pllc | Surgery | 686 W Forest Ave, Jackson, TN 38301-3940 | 2006-06-17 |
| 1861055964 | Brian J Thompson | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2019-04-15 |
| 1679912604 | Sneha G Bhat | Surgery | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920 | 2013-06-24 |
| 1417393489 | Michael Scott Lallemand | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1000 | 2013-05-17 |
| 1083956486 | Keelin Flannery Roche | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2635 | 2013-03-23 |
| 1689921496 | Ronnie N. Mubang | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2012-08-10 |
| 1376770016 | Stephen Paul Gondek | Surgery | 1211 21st Ave S, Nashville, TN 37212 | 2009-06-21 |
| 1922254622 | Christy Marie Lawson | Surgery | 1932 Alcoa Hwy, Building C Suite 270, Knoxville, TN 37920-1527 | 2008-08-13 |
| 1164626594 | Michael Joseph Krzyzaniak | Surgery | 1211 21st Ave S, 404 Medical Arts Building, Nashville, TN 37212-2717 | 2007-06-11 |
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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.