DR. ALEXANDRA DEE MAXTED CHANTARA (NPI# 1679937999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937999 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA DEE MAXTED CHANTARA |
| Other Name | MISS ALEXANDRA DEE MAXTED |
| Credential | M.D. |
| Practice Address |
1455 Union Ave Memphis TN 38104-6727 |
| Practice Telephone | 9017266655 |
| Practice Fax Number | 9017269056 |
| Mailing Telephone | 9017266655 |
| Mailing Fax Number | 9017269056 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 61380 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1455 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1356836076 | Mary Elizabeth Stephens | Nurse Practitioner | 1455 Union Ave, Memphis, TN 38104-6727 | 2018-06-25 |
| 1376800979 | Joseph Pietrangelo | Dermatology | 1455 Union Ave, Memphis Dermatology Clinic, Memphis, TN 38104-6727 | 2012-04-19 |
| 1073824561 | Emily T. Overholser | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2010-06-29 |
| 1992927214 | Frances Kirkland Lawhead | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2007-05-03 |
| 1134346430 | Courtney Stroupe Woodmansee | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2007-04-19 |
| 1215904602 | Amy A Huber | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-03-03 |
| 1558338376 | Frank Glover Witherspoon Jr. | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-03-01 |
| 1366416653 | Memphis Dermatology Clinic Pa | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-14 |
| 1669445276 | John Harvey Gardner | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315373 | Robert J Kaplan, Md Pllc | Dermatology | 6401 Poplar Ave Ste 330, Memphis, TN 38119-4806 | 2014-12-18 |
| 1376892950 | Joshua W Cash | Dermatology | 6254 Poplar Ave, Memphis, TN 38119-4713 | 2012-08-29 |
| 1649493123 | Tejesh Patel | Dermatology | 930 Madison Ave Ste 801, Memphis, TN 38103-3410 | 2007-04-11 |
| 1114023611 | Alan Harris Tanenbaum | Dermatology | 760 E Brookhaven Cir, Memphis, TN 38117-4502 | 2006-09-15 |
| 1093817298 | Mark Harris Tanenbaum | Dermatology | 760 Brookhaven Circle, Memphis, TN 38117 | 2006-09-01 |
| 1831185677 | Charles Franklin Safley Jr. | Dermatology | 3814 Woodland Dr, Memphis, TN 38111 | 2005-09-27 |
| 1619313756 | Whitney Gadd Shroyer | Dermatology | 910 Madison Ave Ste 1031, Memphis, TN 38103-3403 | 2013-05-15 |
| 1699119719 | Allison Vaughan Jones | Dermatology | 930 Madison Ave Ste 801, Memphis, TN 38163 | 2013-04-19 |
| 1376800979 | Joseph Pietrangelo | Dermatology | 1455 Union Ave, Memphis Dermatology Clinic, Memphis, TN 38104-6727 | 2012-04-19 |
| 1720378169 | Cesar Enrique Guerrero | Dermatology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2011-04-18 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on DR. ALEXANDRA DEE MAXTED CHANTARA.
| 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.