TIMOTHY C NAUERT (NPI# 1205941606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205941606 |
| Entity Type | Individual |
| Full Name | TIMOTHY C NAUERT |
| Credential | MD |
| Practice Address |
6019 Walnut Grove Memphis TN 38159 |
| Mailing Address |
Po Box 2121 Memphis TN 38159 |
| Practice Telephone | 9013838860 |
| Practice Fax Number | 9013831194 |
| Mailing Telephone | 9013838860 |
| Mailing Fax Number | 9013838985 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18246 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 90196 | 01 |
| MS | 00115966 | 05 | |
| TN | BCBS | 77566 | 01 |
| TN | 3043967 | 05 |
| Street Address |
6019 WALNUT GROVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306951702 | Allen Tonkin | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1902926264 | Scott David Didier | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2007-03-30 |
| 1639272164 | Robert J Optican | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-09-07 |
| 1982707410 | Dexter Witte IIi | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-09-07 |
| 1588779987 | Virginia Savastano Owen | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1578678975 | Lloyd R Thomas Jr. | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1285749689 | Joe R Krisle Jr. | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1467567875 | Daniel J Becker | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1376658781 | Randy J Horras | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1720193105 | Errol Lewis | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| 1033554589 | Phillip Osborn Flinn | Radiology | 1325 Eastmoreland Ave Ste 545, Memphis, TN 38104-7510 | 2013-05-09 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1720377583 | Adeel Siddiqui | Radiology | 848 Adams Ave Ground Fl, Memphis, TN 38103 | 2011-04-01 |
| 1497055081 | Stephen Lane Gammill Sr. | Radiology | 2935 Iroquois Rd, Memphis, TN 38111-2615 | 2010-10-28 |
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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.