MSK GROUP, PC (NPI# 1376541409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376541409 |
| Entity Type | Organization |
| Organization Name | MSK GROUP, PC |
| Other Organization Name | ORTHOSOUTH |
| Practice Address |
6286 Briarcrest Ave Suite 110 & 200 Memphis TN 38120 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9012591600 |
| Practice Fax Number | 9012591698 |
| Mailing Telephone | 9017258347 |
| Mailing Fax Number | 9012591673 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MR. KIM JENKINS (C.E.O.) |
| Authorized Official Telephone | 9016413000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 110318002 | 05 | |
| TN | BCBS TN | 2006894 | 01 |
| TN | 3371161 | 05 | |
| TN | RAILROAD MEDICARE | CA9441 | 01 |
| MS | 7187860 | 05 |
| Other Name | Type Code |
|---|---|
| OrthoSouth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526852 | Msk Group, PC | Orthopaedic Surgery | 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 | 2019-09-10 |
| 1265971154 | Msk Group, PC | Orthopaedic Surgery | 1350 Concourse Ave, Suite 363, Memphis, TN 38104 | 2017-02-13 |
| 1952626756 | Msk Group, PC | Physical Therapist | 9950 Crooked Creek Dr., Collierville, TN 38017 | 2010-04-05 |
| 1326378803 | Msk Group, PC | Physical Medicine & Rehabilitation | 1995 Highway 51 S Ste 208, Covington, TN 38019-3660 | 2010-01-06 |
| 1942397534 | Msk Group, PC | Physical Therapist | 8040 Wolf River Blvd, Suite 100, Germantown, TN 38138 | 2006-10-06 |
| 1528617768 | Msk Group, PC | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2019-09-10 |
| 1740688811 | Msk Group, PC | Durable Medical Equipment & Medical Supplies | 7580 Clarington Cv, Southaven, MS 38671 | 2014-12-05 |
| 1821435884 | Msk Group, PC | Orthopaedic Surgery | 4515 Poplar Ave, Suite 206, Memphis, TN 38117 | 2013-05-31 |
| 1457681934 | Msk Group, PC | Physical Medicine & Rehabilitation | 8040 Wolf River Blvd, Suite 102, Germantown, TN 38138 | 2010-01-06 |
| 1255584009 | Msk Group, PC | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119 | 2008-10-24 |
| Street Address |
6286 BRIARCREST AVE SUITE 110 & 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748331 | Michael J Sorensen | Physical Medicine & Rehabilitation | 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1518452861 | Catherine Nichole Taylor | Specialist/Technologist | 6286 Briarcrest Ave, Memphis, TN 38120-4023 | 2018-06-28 |
| 1770081788 | Mary Barrack Biddy | Physician Assistant | 6286 Briarcrest Ave, Memphis, TN 38120-4023 | 2018-01-24 |
| 1104364561 | Emily Colon | Physical Therapist | 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120-4023 | 2017-02-06 |
| 1356886550 | Kevin Cody Tubbs | Physical Medicine & Rehabilitation | 6286 Briarcrest Ave, Memphis, TN 38120-4023 | 2016-12-23 |
| 1508214743 | Murphy Scott Wilson | Physical Therapist | 6286 Briarcrest Ave, Suite 110, Memphis, TN 38120 | 2016-05-27 |
| 1962894980 | David Smith Ll | Specialist/Technologist | 6286 Briarcrest Ave, Memphis, TN 38120-4023 | 2015-02-27 |
| 1942602974 | Ryan Francis Marx | Physical Therapist | 6286 Briarcrest Ave, Suite 110, Memphis, TN 38120-4023 | 2014-09-22 |
| 1285054312 | Christopher Z Wilkinson | Registered Nurse | 6286 Briarcrest Ave, Suite 200, Memphis, TN 38120-4023 | 2014-04-16 |
| 1205276557 | Nicholas Alan Cutter | Physical Therapist | 6286 Briarcrest Ave, Memphis, TN 38120-4023 | 2013-07-01 |
| Find all providers in the same location | ||||
| 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.