DR. JON MARK MACNAUGHTON (NPI# 1366485179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366485179 |
| Entity Type | Individual |
| Full Name | DR. JON MARK MACNAUGHTON |
| Other Name | DR. J. MARK MACNAUGHTON |
| Credential | M.D. |
| Practice Address |
6025 Walnut Grove Rd Ste 207 Memphis TN 38120-2122 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9012260200 |
| Practice Fax Number | 9012260215 |
| Mailing Telephone | 9017258347 |
| Mailing Fax Number | 9012597637 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD023561 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
23561 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q004845 | 05 | |
| TN | 3069679 | 05 | |
| TN | BCBS | 6186158 | 01 |
| TN | MEDICARE GROUP PTAN | 3373632 | 01 |
| TN | BLUE CROSS BLUE SHIELD OF TENNESSEE | 4232034 | 01 |
| TN | MEDICARE | T07653B | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10810 Parkside Dr Ste 109, Knoxville, TN 379341980 | 8652186640 | |
| 7900 Airways Blvd., Ste B102, Southaven, MS 386715809 | 6625482965 | 6623499023 |
| 7535 Airways Blvd Ste 201, Southaven, MS 386715809 | 6623490248 | 6623499023 |
| Street Address |
6025 WALNUT GROVE RD STE 207 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617768 | Msk Group, PC | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2019-09-10 |
| 1629322607 | Kera Bergeron | Physician Assistant | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2012-10-30 |
| 1497868897 | Laurence Williamson Schwartz | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2006-08-17 |
| 1669490736 | Jim Kyle Hudson IIi | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2006-07-17 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001163 | Philip M Aronoff | Orthopaedic Surgery | 6286 Briarcrest Ave, Memphis, TN 38120-4078 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
| 1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
| 1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
| 1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
| 1235528027 | Jeffrey Barnes | Orthopaedic Surgery | 2209 Raines Ct, Spring Hill, TN 37174-7521 | 2015-01-15 |
| 1821325424 | West Tennessee Orthopaedics and Sports Medicine, PC | Orthopaedic Surgery | 1003 E Reelfoot Ave., Suite 4, Union City, TN 38261-5871 | 2009-11-03 |
| 1710154331 | James P Leonard | Orthopaedic Surgery | 1215 21st Avenue, Mce South Tower, Suite 3200, Nashville, TN 37205 | 2008-05-13 |
| 1588701999 | J W Thomas Byrd | Orthopaedic Surgery | 2004 Hayes St Ste 700, Nashville, TN 37203-5178 | 2007-02-01 |
| 1811919335 | Lawrence F Schrader | Orthopaedic Surgery | 927 Cordova Station Ave, Cordova, TN 38018-6316 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
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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.