DR. SYLVIA SHEPHERD STROCK (NPI# 1154578573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154578573 |
| Entity Type | Individual |
| Full Name | DR. SYLVIA SHEPHERD STROCK |
| Credential | MD |
| Practice Address |
4634 Peppertree Lane Memphis TN 38117 |
| Mailing Address |
1190 Harmonia Rd. Como MS 38619 |
| Practice Telephone | 9016829110 |
| Mailing Telephone | 6624873406 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 0000009376 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4634 PEPPERTREE LANE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023244357 | Amie Rae Miller | Plastic Surgery | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2009-06-01 |
| 1538326434 | Melissa Anne Kath | Plastic Surgery | 80 Humphreys Center Dr Ste 100, Memphis, TN 38120-2352 | 2008-05-19 |
| 1043316821 | Dan Huff Shell IIi | Plastic Surgery | 6209 Poplar Ave, Suite 200, Memphis, TN 38119-4712 | 2006-09-16 |
| 1164436226 | Robert Louis Adams | Plastic Surgery | 80 Humphreys Ctr Ste 100, Memphis, TN 38120-2352 | 2006-07-27 |
| 1326003179 | Ellis Tavin | Plastic Surgery | 80 Humphreys Center Dr, #100, Memphis, TN 38120 | 2006-04-17 |
| 1033598248 | Steven D Kozusko | Plastic Surgery | 910 Madison Ave, Memphis, TN 38103-3403 | 2015-05-20 |
| 1760823595 | Kalyan Chakravarthy Dadireddy | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2013-07-09 |
| 1851659981 | Haiqiao Jiao | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2012-04-26 |
| 1720364367 | Petros Konofaos | Plastic Surgery | 1068 Cresthaven Rd, Suite 500, Memphis, TN 38119-0800 | 2011-10-27 |
| 1801185228 | Cedric Lawon Hunter | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2011-04-06 |
| 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.