DR. NICHOLAS DANIEL HYSMITH (NPI# 1568780153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568780153 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS DANIEL HYSMITH |
| Credential | M.D. |
| Practice Address |
51 N Dunlap St G145 Ulps Memphis TN 38103 |
| Mailing Address |
51 N Dunlap St G145 Memphis MS 38654 |
| Practice Telephone | 9012875437 |
| Mailing Telephone | 7316086160 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 48992 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
48992 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
51 N DUNLAP ST G145 ULPS |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053666453 | Akinobu Kamei | Pediatrics | 262 Danny Thomas Pl # Ms 320, Memphis, TN 38105-3678 | 2012-07-21 |
| 1770036915 | Sarah Habbal | Pediatrics | 262 Danny Thomas Pl, Mail Stop 320, Memphis, TN 38105-3678 | 2016-07-24 |
| 1093129827 | Diego Raul Hijano | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2014-06-19 |
| 1104173384 | Joshua Wolf | Pediatrics | 262 Danny Thomas Pl, Mailstop 320, Memphis, TN 38105-3678 | 2012-08-07 |
| 1467774844 | Maria Alejandra Carrillo-marquez | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2010-02-25 |
| 1184835837 | Bindiya Bagga | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2007-05-24 |
| 1528283819 | Gabriela Maria Maron | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-04-13 |
| 1770707234 | Isao Miyairi | Pediatrics | 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-04-13 |
| 1972550432 | Patricia Joan Chesney | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-30 |
| 1083671168 | John P Devincenzo | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
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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.