UT MEDICAL GROUP


Address: 853 Jefferson Ave, Room 201, Memphis, TN 38103-2807
Phone: 9015457366

UT MEDICAL GROUP (NPI# 1174872295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174872295
Entity Type Organization
Organization Name UT MEDICAL GROUP
Practice Address 853 Jefferson Ave
Room 201
Memphis
TN 38103-2807
Mailing Address 179 Eastland Dr
Memphis
TN 38111-6930
Practice Telephone 9015457366
Mailing Telephone 9017612979
Enumeration Date 2012-09-05
Last Update Date 2012-09-05
Authorized Official Name MS. MARILYN MUIRHEAD (NEONATAL NURSE PRACTITIONER)
Authorized Official Telephone 9015457366
Authorized Official Credential NNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NW0100X General Acute Care Hospital
Specialization: Women
8199402 TN Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
TN ADVANCED PRACTICE LIICENSE 8198662 01

Office Location

Street Address 853 JEFFERSON AVE
ROOM 201
City MEMPHIS
State TN
Zip Code 38103-2807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437626579 Rosemary Mccraney Social Worker 853 Jefferson Ave, Memphis, TN 38103-2807 2018-10-26
1073049474 Lea Elizabeth Stokes Student in an Organized Health Care Education/Training Program 853 Jefferson Ave, Rm E102, Memphis, TN 38163 2017-05-04
1437402849 Tamara M. Pellegrin Nurse Practitioner 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 2012-10-23
1710203674 Uthsc, Memphis, Tn General Acute Care Hospital 853 Jefferson Ave, Suite E105d2, Memphis, TN 38103-2807 2010-04-15
1477793362 Mark Fellows Weems Pediatrics 853 Jefferson Ave, Rout Bldg E201, Memphis, TN 38103-2807 2009-03-04
1942475728 Danielle Latrice Tate Obstetrics & Gynecology 853 Jefferson Ave, Suite E102, Memphis, TN 38103-2807 2008-04-23
1407078710 Autumn Joi Goodwin-samson Pediatrics 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 2007-05-03
1881769099 Bobby Burrell Bellflower Nurse Practitioner 853 Jefferson Ave, Memphis, TN 38103-2807 2006-11-22
1336236116 Janice M Shier Obstetrics & Gynecology 853 Jefferson Ave, Rout 102, Memphis, TN 38103-2807 2006-10-05
1114036027 Roger Charles Young Obstetrics & Gynecology 853 Jefferson Ave, E160, Memphis, TN 38103-2807 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
Find all providers in zip 38103

Taxonomy Information

Taxonomy Code 282NW0100X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Women

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659788974 Utmg General Acute Care Hospital 843 Jefferson, Memphis, TN 38104 2014-07-18
1235482522 Allison Thornell West General Acute Care Hospital 1407 Union Ave, Memphis, TN 38104-3627 2012-10-24
1710203674 Uthsc, Memphis, Tn General Acute Care Hospital 853 Jefferson Ave, Suite E105d2, Memphis, TN 38103-2807 2010-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114318045 Erlanger Baroness General Acute Care Hospital 975 E 3rd St, Chattanooga, TN 37403-2147 2015-02-13

Competitor

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City MEMPHIS
Zip Code 38103

Improve Information

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Dataset Information

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.

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