KENNETH I ATAGA (NPI# 1306886825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306886825 |
| Entity Type | Individual |
| Full Name | KENNETH I ATAGA |
| Credential | MD |
| Practice Address |
1325 Eastmoreland Ave Ste 101 Memphis TN 38104 |
| Mailing Address |
1325 Eastmoreland Ave Ste 101 Memphis TN 38104-3507 |
| Practice Telephone | 9015168785 |
| Practice Fax Number | 9015168358 |
| Mailing Telephone | 9015168785 |
| Mailing Fax Number | 9015168358 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
57803 | TN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
9700849 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q037997 | 05 |
| Street Address |
1325 EASTMORELAND AVE STE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678554 | Katherine L March | Pharmacist | 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104-3507 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558436337 | David Neil Hayes | Internal Medicine | 1211 Union Ave Ste 300, Memphis, TN 38104-6655 | 2006-11-21 |
| 1396852273 | Sandeep Kumar Rajan | Internal Medicine | 6401 Poplar Ave Ste 195, Memphis, TN 38119 | 2006-08-24 |
| 1215943675 | Family Cancer Center, Pllc | Internal Medicine | 6029 Walnut Grove, Suite 301, Memphis, TN 38120-2112 | 2006-07-31 |
| 1326070277 | Jarvis D Reed | Internal Medicine | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-07-07 |
| 1265424659 | Donna Przepiorka | Internal Medicine | 1331 Union Ave, Suite 800, Memphis, TN 38104-3513 | 2005-08-22 |
| 1851399638 | David Wayne Sullivan | Internal Medicine | 6029 Walnut Grove Rd Ste 301, Memphis, TN 38120-2112 | 2005-07-14 |
| 1659375392 | Stephen A Besh | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2005-06-10 |
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1144223298 | Kirby L Smith | Internal Medicine | 80 Humphreys Center Dr Ste 330, Memphis, TN 38120-2363 | 2005-05-23 |
| 1881212132 | Muhammad Hamid | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2020-07-13 |
| 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.