WEST TENNESSEE ORTHOPAEDIC CLINIC, P.A. (NPI# 1205241304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205241304 |
Entity Type | Organization |
Organization Name | WEST TENNESSEE ORTHOPAEDIC CLINIC, P.A. |
Practice Address |
1995 Highway 51 S Suite 102 Covington TN 38019-3635 |
Mailing Address |
5192 Blackwell Rd Memphis TN 38134-3104 |
Practice Telephone | 9014763424 |
Practice Fax Number | 9014753696 |
Mailing Telephone | 9012011921 |
Enumeration Date | 2014-06-26 |
Last Update Date | 2014-06-26 |
Authorized Official Name | JOHN RICHARD JANOVICH (PRESIDENT) |
Authorized Official Telephone | 9012011921 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MD006167 | TN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3153325 | 05 |
Street Address |
1995 HIGHWAY 51 S SUITE 102 |
City | COVINGTON |
State | TN |
Zip Code | 38019-3635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790775518 | James William Martin | Family Medicine | 1995 Highway 51 S, Suite 101, Covington, TN 38019-3635 | 2005-10-24 |
1902459324 | Stephanie Castro Tims | Nurse Practitioner | 1995 Highway 51 S, Covington, TN 38019-3635 | 2019-07-24 |
1083170880 | Kayla Tiara Mcmorise | Nurse Practitioner | 1995 Highway 51 S, Covington, TN 38019-3635 | 2019-02-17 |
1790231686 | Medicone Medical Response Delta Region Inc | Ambulance | 1995 Highway 51 S, Covington, TN 38019-3635 | 2016-08-30 |
1801277363 | Jeffrey O'banner | Emergency Medicine | 1995 Highway 51 S, Covington, TN 38019-3635 | 2015-06-10 |
1386037919 | Alliance Obstetrics & Gynecology | Obstetrics & Gynecology | 1995 Highway 51 S, #203, Covington, TN 38019-3635 | 2015-03-06 |
1992121834 | Rachel Bates | Physician Assistant | 1995 Highway 51 S, Covington, TN 38019-3635 | 2014-03-17 |
1043572837 | Premier Women's Care | Obstetrics & Gynecology | 1995 Highway 51 S, Suite 112, Covington, TN 38019-3635 | 2012-06-08 |
1386948891 | Eric James Boyer | Physician Assistant | 1995 Highway 51 S, Covington, TN 38019-3635 | 2010-12-28 |
1336383645 | Tipton Anesthesia Group, Inc. | Nurse Anesthetist, Certified Registered | 1995 Highway 51 S, Covington, TN 38019-3635 | 2009-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
Find all providers in zip 38019 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
1427411719 | Annette Marie Comer | Specialist | 203 Green Violet Dr, Covington, VA 24426-6327 | 2016-04-04 |
1447654686 | David E Williams | Specialist | 767 Highway 142, Covington, GA 30014-4860 | 2014-10-17 |
1720328313 | Paradigm Health System | Specialist | 90 Louis Prima Dr, Suite B, Covington, LA 70433-5903 | 2013-02-19 |
1639415243 | Elaine Y Lewis | Specialist | 205 Queensland Ln, Covington, GA 30016-3100 | 2012-12-31 |
1710286794 | Pontchartrain Cancer Center | Specialist | 120 Lakeview Cir, Covington, LA 70433-7512 | 2011-03-16 |
1598088247 | Oxana P Lissina | Specialist | 16127 Se 256th Pl, Covington, WA 98042-4135 | 2010-03-09 |
1477880714 | Srinivas S Ganji M.d. A Prof Medical Corp | Specialist | 209 Highway Park Plaza, Covington, LA 70433 | 2009-11-06 |
1447494109 | Monica Lanee Anderson | Specialist | 280 Capeton Ct, Covington, GA 30016 | 2009-04-25 |
1750521274 | Anita Holtzapple | Specialist | 180 Red Cloud Ct, Covington, KY 41017-9423 | 2009-02-23 |
Find all providers in COVINGTON |
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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.