DR. SERGIO R ACCHIARDO (NPI# 1164488078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164488078 |
| Entity Type | Individual |
| Full Name | DR. SERGIO R ACCHIARDO |
| Credential | MD |
| Practice Address |
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113 |
| Mailing Address |
66 N Pauline St Suite 206 Memphis TN 38105-5105 |
| Practice Telephone | 9014482300 |
| Practice Fax Number | 9014486657 |
| Mailing Telephone | 9014482869 |
| Mailing Fax Number | 9014481772 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
7266 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS TENNESSEE | 2005285 | 01 |
| TN | 3155093 | 05 |
| Street Address |
1910 NONCONNAH BLVD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933276 | Cynthia Denise Cross | Emergency Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2005-12-22 |
| 1265719496 | Tamara Devon Jones | Social Worker | 1910 Nonconnah Blvd, Suite #100, Memphis, TN 38132-2113 | 2011-11-16 |
| 1417244765 | Compass Laboratory Services LLC | Clinical Medical Laboratory | 1910 Nonconnah Blvd, 108, Memphis, TN 38132-2113 | 2011-07-07 |
| 1508090986 | Oana Maria Hendea | Audiologist | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2009-05-13 |
| 1649429119 | Dawna J. Willis | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-09-09 |
| 1538315304 | Samir Hasmukh Shah | Pediatrics | 1910 Nonconnah Blvd, Ste 120, Memphis, TN 38132-2113 | 2008-08-13 |
| 1710163373 | Martha Katheryn Ballard | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-01-14 |
| 1861673816 | Keith A. Collins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-11-19 |
| 1851510978 | Mindy A Mullins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-04-25 |
| 1275629396 | Sabrina Burns Kuster | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1669646634 | Mark Shermer, M.d.,p.c. | Internal Medicine | 6005 Park Ave Ste 807, Memphis, TN 38119-5218 | 2008-04-21 |
| 1457536559 | Manish Talwar | Internal Medicine | 1265 Union Ave Ste 184, Memphis, TN 38104-3415 | 2008-01-08 |
| 1821299512 | Minesh Babul Pathak | Internal Medicine | 3950 New Covington Pike Ste 300, Memphis, TN 38128-2591 | 2007-05-30 |
| 1942418546 | John T. Morris, IIi, Md, PC | Internal Medicine | 780 Truse Pkwy Ste 102, Memphis, TN 38117-5361 | 2007-05-18 |
| 1689603102 | Sanjeev Kumar Mittal | Internal Medicine | 6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 | 2006-06-30 |
| 1497794580 | William F Owen | Internal Medicine | 62 S Dunlap St, Memphis, TN 38103-4903 | 2006-06-05 |
| 1235185315 | John Thomas Morris IIi | Internal Medicine | 7640 Wolf River Cir, 2nd Floor, Memphis, TN 38138-1744 | 2006-05-26 |
| 1285683664 | Hugh Hermes Williams | Internal Medicine | 220 S Claybrook St, Suite 314, Memphis, TN 38104-3527 | 2006-05-10 |
| 1356399117 | Zaher Al-shallah | Internal Medicine | 6027 Walnut Grove Rd Ste 405, Memphis, TN 38120 | 2006-05-04 |
| 1033176250 | Robert Bradley Canada | Internal Medicine | 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 | 2006-05-01 |
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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.