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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
8199402 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ADVANCED PRACTICE LIICENSE | 8198662 | 01 |
| Street Address |
853 JEFFERSON AVE ROOM 201 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2807 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114318045 | Erlanger Baroness | General Acute Care Hospital | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2015-02-13 |
Please comment or provide details below to improve the information on UT MEDICAL GROUP.
| 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.