DR. ENRIQUE GUILLERMO (NPI# 1609815919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609815919 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE GUILLERMO |
| Credential | MD |
| Practice Address |
6019 Walnut Street Memphis TN 38120 |
| Mailing Address |
Po Box 634706 Cincinnati OH 45263-4706 |
| Practice Telephone | 9012263010 |
| Practice Fax Number | 9012261707 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 27942 | TN | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
E0557 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 3158388 | 01 |
| TN | 3832055 | 05 | |
| MS | 00122634 | 05 | |
| TN | RAILROAD MEDICARE | P00232048 | 01 |
| Street Address |
6019 WALNUT STREET |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942538459 | Michael Alan Dorrity | Emergency Medicine | 2952 Gardens Way, Memphis, TN 38111-2647 | 2009-11-20 |
| 1003912148 | Richard W. Babin | Emergency Medicine | 506 S Yates Rd, Memphis, TN 38120-2436 | 2006-09-16 |
| 1952876427 | Srilatha Raghur | Emergency Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-10-10 |
| 1144463431 | Jonathan Tyler English | Emergency Medicine | 407 Stonewall St, Memphis, TN 38112-5115 | 2009-04-15 |
| 1316966724 | Ronnie Durrell Bowen | Emergency Medicine | 5959 Park Ave, Memphis, TN 38119-5200 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992182224 | Steven T. Haywood | Emergency Medicine | 1120 Skyline Dr, Johnson City, TN 37604-3779 | 2015-05-06 |
| 1003173923 | Harold Earl Smith | Emergency Medicine | 2277 Stewarts Ferry Pike, Hermitage, TN 37076-3902 | 2012-04-17 |
| 1730322389 | James Robert Davenport | Emergency Medicine | 209 Light Hall, Nashville, TN 37212 | 2009-04-13 |
| 1598938060 | William John Heerman | Emergency Medicine | Vanderbilt Medical Center 1215 21st Ave S, 7th Floor, Mce, Suite 2, North Tower, Nashville, TN 37232-0001 | 2008-04-07 |
| 1669556148 | Adejoke Foluke Aina-babalola | Emergency Medicine | 6716 Nolensville Pike, Suite 240, Brentwood, TN 37027-8805 | 2006-10-24 |
| 1679502314 | Meifung Kerley | Emergency Medicine | Lamont Street, Mountain Home, TN 37684 | 2006-07-03 |
| 1376579730 | Douglas Wister Ligon | Emergency Medicine | 4895 East Main St, Ste A, Erin, TN 37061 | 2006-06-25 |
| 1518912195 | Ralf Joffe | Emergency Medicine | 522 Treyburn Dr, Knoxville, TN 37934-0899 | 2006-05-23 |
| 1598727380 | David D. Buckman | Emergency Medicine | 2320 Wilma Rudolph Blvd., Clarksville, TN 37040-8960 | 2006-04-05 |
| 1407836356 | David S. Goldberg | Emergency Medicine | 5115 Maryland Way, Brentwood, TN 37027-7512 | 2006-01-18 |
| 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.