TED JAMES HEGNER


Address: 6005 Park Ave Ste 802, Memphis, TN 38119-5218
Phone: 9012360508

TED JAMES HEGNER (NPI# 1700331527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700331527
Entity Type Individual
Full Name TED JAMES HEGNER
Other Name THEODORE JAMES HEGNER
Credential P.A.
Practice Address 6005 Park Ave Ste 802
Memphis
TN 38119-5218
Mailing Address 101 E Miller Rd
Sterling
IL 61081-1252
Practice Telephone 9012360508
Practice Fax Number 9016822143
Mailing Telephone 8156254790
Mailing Fax Number 8156325824
Enumeration Date 2016-08-22
Last Update Date 2020-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085.005902 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 E Miller Rd, Sterling, IL 610811252 8156325285 8156325824

Office Location

Street Address 6005 PARK AVE STE 802
City MEMPHIS
State TN
Zip Code 38119-5218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154451946 Pain Services, PC Specialist 6005 Park Ave Ste 802, Memphis, TN 38119-5218 2007-03-07

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568910560 Erica Troia Comstock Physician Assistant 7193 Farnham Rd, Memphis, NY 13112-8764 2016-09-19
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1831361948 F & P Certified Surgical Assistants LLC Physician Assistant 4793 Northwood Hills Cv, Memphis, TN 38128-1632 2008-03-28
1265619118 Jerry Emerson Shaw Physician Assistant 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 2008-01-23
1508974700 Mary E Bruce Physician Assistant 890 Madison Ave, Memphis, TN 38103-3409 2006-08-28
1427683796 Madison Barry Physician Assistant 877 Jefferson Ave, Memphis, TN 38103-2807 2020-03-07
1891340154 Lauren Elizabeth Whitley Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-08-05
1518519057 Michael Trevor Houseal Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-07-15
1427571850 Kristen Kaplon Physician Assistant 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 2017-07-18
1316485667 Kathryn Lee Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2017-02-07
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Competitor

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City MEMPHIS
Zip Code 38119

Improve Information

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Dataset Information

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.

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