LAURA DETTI (NPI# 1619042462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619042462 |
| Entity Type | Individual |
| Full Name | LAURA DETTI |
| Credential | MD |
| Practice Address |
6555 Quince Rd Memphis TN 38119-8202 |
| Mailing Address |
877 Jefferson Ave Attn: Provider Enrollmetn Memphis TN 38103-2807 |
| Practice Telephone | 9015153100 |
| Practice Fax Number | 9015153199 |
| Mailing Telephone | 9015457302 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
44077 | TN | Allopathic & Osteopathic Physicians |
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4301084580 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
6555 QUINCE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114984069 | John M Norwood | Internal Medicine | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-04-26 |
| 1194233643 | Matthew Clark Wilson | Pharmacist | 6555 Quince Rd, Memphis, TN 38119-8202 | 2018-01-18 |
| 1245603620 | Shelby County Health Care Corporation | Pharmacy | 6555 Quince Rd, Attention: Pharmacy, Memphis, TN 38119-8202 | 2015-11-05 |
| 1780056713 | Drew Alan Tucker | Physical Therapist | 6555 Quince Rd, Memphis, TN 38119-8202 | 2015-10-29 |
| 1245633304 | Elizabeth Schriner | Physician Assistant | 6555 Quince Rd, Memphis, TN 38119-8202 | 2014-10-03 |
| 1255679270 | Amanda Milner Best | Nurse Practitioner | 6555 Quince Rd, Memphis, TN 38119-8202 | 2013-01-25 |
| 1730380304 | Christopher K Ledbetter | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2007-05-30 |
| 1861615627 | Adio Ishmael Abdu | Obstetrics & Gynecology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2007-04-10 |
| 1982661088 | Robert W Wake | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-05-01 |
| 1730147877 | Anthony Lynn Patterson | Urology | 6555 Quince Rd, Memphis, TN 38119-8202 | 2006-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659573558 | Amelia Purser Bailey | Obstetrics & Gynecology | 80 Humphreys Center Dr Ste 307, Memphis, TN 38120-2363 | 2007-06-03 |
| 1710186473 | Paul Robert Brezina | Obstetrics & Gynecology | 80 Humphreys Center, Suite 307, Memphis, TN 38120-2363 | 2007-07-13 |
| 1588769608 | Kutteh Ke Fertility Associates of Memphis, Pllc | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
| 1710082987 | William Hanna Kutteh | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
| 1790880896 | Raymond Weehan Ke | Obstetrics & Gynecology | 80 Humphreys Ctr, Suite 307, Memphis, TN 38120-2353 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497102875 | Uc Health Center for Reproductive Health LLC | Obstetrics & Gynecology | 5000 Meridian Blvd, Suite 250, Franklin, TN 37067-6667 | 2016-05-16 |
| 1932533643 | Mary Martin Cadieux | Obstetrics & Gynecology | 3824 Compass Pointe Dr, Louisville, TN 37777 | 2013-08-29 |
| 1669539664 | Jane I Ruman | Obstetrics & Gynecology | 2009 Mallory Ln Ste 250, Franklin, TN 37067 | 2007-01-02 |
| 1841353307 | Gayla S Harris | Obstetrics & Gynecology | 1928 Alcoa Hwy Ste 304 Bldg B, Knoxville, TN 37920-1505 | 2006-12-18 |
| 1649332859 | Joseph Simmons Bird Jr. | Obstetrics & Gynecology | 7407 Ziegler Road, Chattanooga, TN 37421-3157 | 2006-12-14 |
| 1801980479 | John Gordon | Obstetrics & Gynecology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2006-10-03 |
| 1245202183 | Clarissa Ann Mashchak | Obstetrics & Gynecology | 6401 Mountain View Rd, Suite 101, Ooltewah, TN 37363-6681 | 2006-02-04 |
| 1386637619 | Norman A Assad | Obstetrics & Gynecology | 1319 Sunset Dr, Suite 103, Johnson City, TN 37604-3799 | 2005-08-23 |
| 1043852601 | Southeastern Center for Fertility and Reproductive Surgery, Pllc | Obstetrics & Gynecology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2019-10-15 |
| 1972975258 | Tennessee Fertility Associates, Pllc | Obstetrics & Gynecology | 9160 Carothers Pkwy, Franklin, TN 37067-6688 | 2015-10-26 |
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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.