KRISTIE NOWAK (NPI# 1275598781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275598781 |
| Entity Type | Individual |
| Full Name | KRISTIE NOWAK |
| Credential | MD |
| Practice Address |
6029 Walnut Grove Rd Ste C002 Memphis TN 38120-2112 |
| Mailing Address |
6799 Great Oaks Rd Ste 250 Memphis TN 38138-2584 |
| Practice Telephone | 9016853490 |
| Practice Fax Number | 9016853499 |
| Mailing Telephone | 9016853490 |
| Mailing Fax Number | 9016853499 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036153201 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
56938 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3314 Patriot Ct, Herrin, IL 629483782 | 6189931591 | 6189931595 |
| Street Address |
6029 WALNUT GROVE RD STE C002 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604060 | Ashley G Marion | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2005-10-21 |
| 1932520723 | Tracy Mcclinton | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2013-12-20 |
| 1902249394 | Catherine Carlton Easterwood | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2013-04-16 |
| 1194956755 | Elizabeth K Thompson | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2009-07-30 |
| 1013122522 | Beverly Ann Jones | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2007-05-10 |
| 1306887187 | Margarita Lamothe | Internal Medicine | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2006-06-10 |
| 1750343190 | Lisa Marie Woodcock | Nurse Practitioner | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2006-04-03 |
| 1578530895 | Stephen C Threlkeld | Internal Medicine | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2006-03-06 |
| 1356318661 | Michael G Threlkeld | Internal Medicine | 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120-2112 | 2006-03-06 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558777821 | Inderjeet Singh Brar | Internal Medicine | 6027 Walnut Grove Rd Ste 312, Memphis, TN 38120-2128 | 2014-07-08 |
| 1316195241 | Internal Medicine & Infectious Diseases Specialists, Pllc | Internal Medicine | 6005 Park Ave Ste 429b, Memphis, TN 38119 | 2008-09-04 |
| 1932303856 | Muhammad Aijaz Khurshid | Internal Medicine | 3960 Knight Arnold Rd Ste 215, Memphis, TN 38118-3000 | 2007-06-13 |
| 1962554840 | Memphis Infectious Diseases Consultants, Pllc | Internal Medicine | 1331 Union Ave Ste 1023, Memphis, TN 38104-7509 | 2007-01-18 |
| 1720196058 | David Lewis George | Internal Medicine | 4133 Kriter Ln, Memphis, TN 38117-3616 | 2006-08-28 |
| 1356318059 | Imad Omer | Internal Medicine | 6029 Walnut Grove Rd # C002, Memphis, TN 38120-2112 | 2006-03-02 |
| 1619971637 | Bryan Paul Simmons | Internal Medicine | 176 S Bellevue Blvd, Suite 603, Memphis, TN 38104-3424 | 2005-06-08 |
| 1649512468 | Nathan Alan Summers | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2013-03-19 |
| 1619243680 | Christian Jan Fuchs | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2012-03-23 |
| 1891016283 | Tejal Mayur Patel | Internal Medicine | 1030 Jefferson Ave, Memphis, TN 38104 | 2010-06-20 |
| Find all providers in MEMPHIS | ||||
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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.