SUSAN N ISHIKAWA (NPI# 1225024953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225024953 |
| Entity Type | Individual |
| Full Name | SUSAN N ISHIKAWA |
| Credential | M.D. |
| Practice Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
| Practice Telephone | 9017593100 |
| Mailing Telephone | 9017593100 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
15818 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02700342 | 05 | |
| AR | 165780001 | 05 | |
| TN | Q017898 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Union Ave Ste 500, Memphis, TN 381046656 | 9017593100 | |
| 7545 Airways Blvd, Southaven, MS 386715806 | 9017593100 | |
| 8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 | |
| 1458 W Poplar Ave Ste 100, Collierville, TN 380170630 | 9017593100 |
| Street Address |
1400 S GERMANTOWN RD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503196 | Cody Mitchell Hastings | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-22 |
| 1477167468 | Kristen Thelen | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-07 |
| 1710591201 | Sarah Barlow | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-02 |
| 1114483716 | Abigail Norton | Specialist/Technologist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2019-02-19 |
| 1093285306 | Marcy Larson | Physical Medicine & Rehabilitation | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2018-11-29 |
| 1518462290 | Kenan Stewart Prentice | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2018-03-26 |
| 1013426287 | Brittany N Logan | Specialist/Technologist | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2017-09-20 |
| 1487170924 | Mary Angela Hardin | Registered Nurse | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2017-08-16 |
| 1831621952 | Kelley Funderburg | Nurse Practitioner | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2017-03-29 |
| 1841738978 | Sara Allen | Registered Nurse | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207186 | Elbert Greer Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-10-04 |
| 1912994450 | David R Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-30 |
| 1952398646 | Garnett Andrew Murphy | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235158486 | Southern Orthopaedic Foot & Ankle Ctr | Orthopaedic Surgery | 725 Glenwood Dr, Ste E884, Chattanooga, TN 37404-1182 | 2006-07-19 |
| 1295751634 | Tracy A Pesut | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2006-07-15 |
| 1447201967 | Jeffrey Donald Willers | Orthopaedic Surgery | 2021 Church Street, Suite 200, Nashville, TN 37203 | 2006-05-12 |
| 1962467498 | Karen J Mcrae | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2006-04-18 |
| 1417922618 | Richard G Alvarez | Orthopaedic Surgery | 979 E 3rd St, Suite C430, Chattanooga, TN 37403-2136 | 2006-02-21 |
| 1326044298 | Matthew M Buchanan | Orthopaedic Surgery | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2005-06-24 |
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on SUSAN N ISHIKAWA.
| 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.