MSK GROUP, PC (NPI# 1528617768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528617768 |
| Entity Type | Organization |
| Organization Name | MSK GROUP, PC |
| Other Organization Name | MSK GROUP, PC |
| Practice Address |
6025 Walnut Grove Rd Ste 207 Memphis TN 38120-2122 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5754 |
| Practice Telephone | 9012260200 |
| Practice Fax Number | 9012260215 |
| Mailing Telephone | 9012591673 |
| Mailing Fax Number | 9012597637 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | AMY GENTRY (CREDENTIALING) |
| Authorized Official Telephone | 9012591673 |
| Is Organization Subpart | Y |
| Parent Organization Name | MSK GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MSK Group, PC | Former Legal Business 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 |
| 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 |
| 1558512178 | Msk Group, PC | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2008-10-01 |
| Street Address |
6025 WALNUT GROVE RD STE 207 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366485179 | Jon Mark Macnaughton | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2006-06-13 |
| 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 | 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 |
| 1013463694 | Titan Orthopedics of Memphis, Pllc | Orthopaedic Surgery | 795 Ridge Lake Blvd, Suite 103, Memphis, TN 38120-9475 | 2016-09-01 |
| 1164818654 | Chad Campion | Orthopaedic Surgery | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-04-10 |
| 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.