DHP OF TENNESSEE PC (NPI# 1245595537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245595537 |
| Entity Type | Organization |
| Organization Name | DHP OF TENNESSEE PC |
| Practice Address |
6019 Walnut Grove Rd Memphis TN 38120-2113 |
| Mailing Address |
265 Brookview Centre Way Suite 400 Knoxville TN 37919-4052 |
| Practice Telephone | 9012265000 |
| Mailing Telephone | 8656931000 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | DR. ROGER BROOKSBANK (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6019 WALNUT GROVE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738128 | Alka Kamo | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-05-24 |
| 1134728512 | Josh Randall Miller | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-18 |
| 1689272551 | Bryant Jerel Meeks | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-13 |
| 1831796614 | Victoria Elise Blackmon | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-05 |
| 1134736499 | Zachary Aaron Ortiz | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-30 |
| 1306453345 | Erin Bomar | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-24 |
| 1215546262 | Vickie Pitman | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-27 |
| 1417574609 | Taylor Money-williams | Pharmacist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-03 |
| 1730702861 | Michael Jason Hackett | Nurse Anesthetist, Certified Registered | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-23 |
| 1487276895 | Jayson Powell | Perfusionist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971154 | Msk Group, PC | Orthopaedic Surgery | 1350 Concourse Ave, Suite 363, Memphis, TN 38104 | 2017-02-13 |
| 1396828620 | Samir Riad Dawoud | Orthopaedic Surgery | 6099 Mount Moriah, Suite 4, Memphis, TN 38115 | 2006-10-23 |
| 1366485179 | Jon Mark Macnaughton | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2006-06-13 |
| 1154379659 | Michael James Heck | Orthopaedic Surgery | 496 Perkins Rd. Extended, Memphis, TN 38117-1730 | 2006-05-05 |
| 1508853250 | Kevin B Cleveland | Orthopaedic Surgery | 1211 Union Ave Ste 500, Memphis, TN 38104-6656 | 2005-09-28 |
| 1942296306 | William H Knight | Orthopaedic Surgery | 3980 New Covington Pike, Suite 200, Memphis, TN 38128-2500 | 2005-09-21 |
| 1942295985 | Bret R Sokoloff | Orthopaedic Surgery | 3980 New Covington Pike #100, Memphis, TN 38128-2513 | 2005-09-15 |
| 1700889730 | Kenneth S Weiss | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1528617768 | Msk Group, PC | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2019-09-10 |
| 1013463694 | Titan Orthopedics of Memphis, Pllc | Orthopaedic Surgery | 795 Ridge Lake Blvd, Suite 103, Memphis, TN 38120-9475 | 2016-09-01 |
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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.