DR. AIDAR RAUISOVICH GOSMANOV (NPI# 1316160872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316160872 |
| Entity Type | Individual |
| Full Name | DR. AIDAR RAUISOVICH GOSMANOV |
| Credential | M.D., PH.D. |
| Practice Address |
1407 Union Ave Suite 200 Memphis TN 38104-3627 |
| Mailing Address |
1407 Union Ave Suite 640 Memphis TN 38104-3627 |
| Practice Telephone | 9018668813 |
| Practice Fax Number | 9013022120 |
| Mailing Telephone | 9018668360 |
| Mailing Fax Number | 9013022360 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
46307 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1407 UNION AVE SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1255953956 | Endo 247 LLC | Internal Medicine | 5220 Park Ave Ste 202, Memphis, TN 38119-3549 | 2020-05-15 |
| 1063924280 | Hughes Endocrinology LLC | Internal Medicine | 6005 Park Ave Ste 305, Memphis, TN 38119-5213 | 2017-10-27 |
| 1295925840 | Saba Khayal | Internal Medicine | 6401 Poplar Ave Ste 400, Memphis, TN 38119-4806 | 2007-07-30 |
| 1891806238 | Sonia Guerra | Internal Medicine | 6005 Park Ave Ste 902, Memphis, TN 38119-5219 | 2006-08-31 |
| 1770556268 | John P Tetzeli | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2006-02-07 |
| 1629621198 | Value Global Medical Services LLC | Internal Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2019-07-23 |
| 1568971232 | Mason Gindt | Internal Medicine | 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 | 2017-09-26 |
| 1033552492 | Deirdre Jocelyn James | Internal Medicine | University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001 | 2013-04-16 |
| 1134462666 | Anne Briton Craddock Wynn | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2013-04-03 |
| 1629331079 | Fariha Salman | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2012-06-20 |
| 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.