BAPTIST MEMORIAL MEDICAL GROUP INC (NPI# 1437267770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437267770 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Other Organization Name | BAPTIST MEMORIAL HEALTH SERVICES, INC. OF TENNESSEE |
| Practice Address |
641 Rb Wilson Dr Suite G Huntingdon TN 38344-1733 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 7319867400 |
| Practice Fax Number | 7319867402 |
| Mailing Telephone | 9012277463 |
| Mailing Fax Number | 9012275699 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | DONALD R POUNDS (CFO SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9012277463 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3708097 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Memorial Health Services, Inc. of Tennessee | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087324 | Baptist Memorial Medical Group Inc | Pharmacy | 8040 Wolf River Blvd Ste 200, Germantown, TN 38138-1775 | 2019-01-22 |
| 1831422104 | Baptist Memorial Medical Group Inc | Surgery | 6215 Humphreys Blvd, Suite 505, Memphis, TN 38120-2367 | 2009-09-17 |
| 1306089206 | Baptist Memorial Medical Group Inc | Urology | 8970 Winchester Rd, Memphis, TN 38125-8231 | 2009-04-08 |
| 1013156173 | Baptist Memorial Medical Group Inc | Urology | 1109 E Reelfoot Ave, Suite I, Union City, TN 38261-5856 | 2009-02-13 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1689837361 | Baptist Memorial Medical Group Inc | Internal Medicine | 1995 Highway 51 S, Covington, TN 38019-3635 | 2008-07-03 |
| 1154597896 | Baptist Memorial Medical Group Inc | Psychiatry & Neurology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2008-05-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1568651297 | Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2007-10-18 |
| Street Address |
641 RB WILSON DR SUITE G |
| City | HUNTINGDON |
| State | TN |
| Zip Code | 38344-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194774802 | Lee Marvin Carter | Family Medicine | 641 Rb Wilson Dr, Suite F, Huntingdon, TN 38344-1733 | 2006-05-09 |
| 1184114902 | Baptist Memorial Hospital-huntingdon | Clinic/Center | 641 Rb Wilson Dr, Huntingdon, TN 38344 | 2018-05-17 |
| 1164690178 | Lee Marvin Carter | Family Medicine | 641 Rb Wilson Dr, Huntingdon, TN 38344-1733 | 2008-02-12 |
| 1760559827 | Rafael Mario Sanchez | Emergency Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-11-30 |
| 1568575926 | Baptist Memorial Medical Group Inc | Surgery | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344-1733 | 2006-08-17 |
| 1750390399 | Heather Anne Garrett | Nurse Practitioner | 641 Rb Wilson Dr, Suite F, Huntingdon, TN 38344-1733 | 2006-08-05 |
| 1780600874 | James Steven Williamson | Family Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344-1733 | 2006-07-14 |
| 1851317051 | Jill A. Bennett | Nurse Practitioner | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201926 | Michele Ellert | Nurse Practitioner | 710 Fairview Church Rd, Huntingdon, TN 38344 | 2014-06-26 |
| 1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
| 1376792804 | Clinical Radiologists, Pllc | Radiology | 631 R.b. Wilson Dr, Huntingdon, TN 38344 | 2008-09-09 |
| 1134346869 | Christie Harris | Case Manager/Care Coordinator | 19410 West Main, Huntingdon, TN 38344 | 2007-04-20 |
| 1346390515 | State of Tennessee | Public Health or Welfare | 633 High Street, Huntingdon, TN 38344 | 2007-01-11 |
| 1609806439 | Calphor S Carty | Surgery | 641 Rb Wilson Drive, Suite J, Huntingdon, TN 38344 | 2006-07-04 |
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1891863627 | Charles William Bailey IIi | Dentist | 119 Church St, Huntingdon, TN 38344-0672 | 2006-12-01 |
| 1790107761 | Kelli Bryant Harris | Social Worker | 394 Timber Ln, Huntingdon, TN 38344-1621 | 2014-01-10 |
| 1568533206 | Hunting Operator LLC | Skilled Nursing Facility | 635 High St, Huntingdon, TN 38344-1703 | 2006-11-13 |
| Find all providers in zip 38344 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609432749 | Dubois Regional Medical Center | Family Medicine | 820 Bryan St Ste 1, Huntingdon, PA 16652-2409 | 2019-05-14 |
| 1831596006 | J C Blair Medical Services, Inc | Family Medicine | 900 Bryan St Ste 2, Huntingdon, PA 16652-2413 | 2014-12-03 |
| 1104001320 | Jennifer Holt | Family Medicine | 1225 Warm Springs Avenue, Jc Blair Memorial Hospital, Huntingdon, PA 16652 | 2008-01-07 |
| 1508902693 | Caring Hands Family Medicine LLC | Family Medicine | 641 Rb Wilson Dr Ste D, Huntingdon, TN 38344-1734 | 2007-01-29 |
| 1982791455 | William J Olstein | Family Medicine | 9492 William Penn Hwy, Huntingdon, PA 16652-7167 | 2006-10-06 |
| 1831204072 | Richard S. Buza | Family Medicine | 3228 Cold Springs Rd, Huntingdon, PA 16652-2721 | 2006-08-20 |
| 1386679165 | Bruce L Thomas | Family Medicine | 835 Washington St, Huntingdon, PA 16652-1725 | 2006-07-11 |
| 1194774802 | Lee Marvin Carter | Family Medicine | 641 Rb Wilson Dr, Suite F, Huntingdon, TN 38344-1733 | 2006-05-09 |
| 1154316420 | Daniel L Delp | Family Medicine | 814 Washington St, Huntingdon, PA 16652-1726 | 2005-09-13 |
| 1831192699 | Toby Andrew Hampton | Family Medicine | 600 Rb Wilson Dr, Huntingdon, TN 38344-1726 | 2005-05-24 |
| Find all providers in HUNTINGDON | ||||
| City | HUNTINGDON |
| Zip Code | 38344 |
Please comment or provide details below to improve the information on BAPTIST MEMORIAL MEDICAL GROUP INC.
| 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.