JOSEPH T SANTOSO (NPI# 1720010648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720010648 |
Entity Type | Individual |
Full Name | JOSEPH T SANTOSO |
Credential | MD |
Practice Address |
80 Humphreys Center Dr Ste 202 Memphis TN 38120-2361 |
Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
Practice Telephone | 9012264280 |
Practice Fax Number | 9012264282 |
Mailing Fax Number | 9012278591 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2019-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
18309 | MS | Allopathic & Osteopathic Physicians |
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
34845 | TN | Allopathic & Osteopathic Physicians |
Street Address |
80 HUMPHREYS CENTER DR STE 202 |
City | MEMPHIS |
State | TN |
Zip Code | 38120-2361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487611760 | David B Engle | Obstetrics & Gynecology | 80 Humphreys Center Dr Ste 202, Memphis, TN 38120-2361 | 2006-04-28 |
1619498938 | Andrew Bell | Genetic Counselor, MS | 80 Humphreys Center Dr Ste 202, Memphis, TN 38120 | 2017-06-28 |
1154657468 | Sheila Espiritu Ayers | Nurse Practitioner | 80 Humphreys Center Dr Ste 202, Memphis, TN 38120-2361 | 2009-10-20 |
1164445276 | Ahmad Azari | Obstetrics & Gynecology | 80 Humphreys Center Dr Ste 202, Memphis, TN 38120-2361 | 2006-07-26 |
1497713267 | Sadanand I Patil | Internal Medicine | 80 Humphreys Center Dr Ste 202, Memphis, TN 38120-2361 | 2006-05-02 |
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 | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
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 |
---|---|---|---|---|
1932381530 | Sanjeev Kumar | Obstetrics & Gynecology | 6584 Poplar Ave, Ste 400, Memphis, TN 38138-3687 | 2007-12-05 |
1124588793 | Poplar Avenue Clinic Pllc | Obstetrics & Gynecology | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2019-03-20 |
1477585347 | Mark E Reed | Obstetrics & Gynecology | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-07-07 |
1679502454 | Guy J Photopulos | Obstetrics & Gynecology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2006-07-02 |
1720017577 | Todd D Tillmanns | Obstetrics & Gynecology | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033622725 | Courtney Roth | Obstetrics & Gynecology | 1926 Alcoa Hwy Ste 370, Knoxville, TN 37920-1552 | 2017-11-16 |
1205060381 | Lauren Shore Prescott | Obstetrics & Gynecology | To 3601 The Vanderbilt Clinic, Nashville, TN 37232-4000 | 2009-05-05 |
1710994637 | Thomas W Mcdonald | Obstetrics & Gynecology | 1630 Downtown West Blvd, Suite 119, Knoxville, TN 37919 | 2006-08-02 |
1801848320 | Stephen Ernest Depasquale | Obstetrics & Gynecology | 102 Central Avenue, Chattanooga, TN 37403-1503 | 2006-05-16 |
1245225424 | David Allen Martin | Obstetrics & Gynecology | 10810 Parkside Dr Ste 200, Knoxville, TN 37934-1983 | 2005-09-14 |
1396739868 | Don Jennings Hall | Obstetrics & Gynecology | 101 E Blount Ave, Knoxville, TN 37920-1632 | 2005-09-09 |
1609878586 | Bunyan Stephens Dudley | Obstetrics & Gynecology | 4220 Harding Pike, S&e Building Suite 200, Nashville, TN 37205-2005 | 2005-08-11 |
1497759773 | Kenneth F Cofer | Obstetrics & Gynecology | 1915 White Ave, Knoxville, TN 37916-2300 | 2005-06-02 |
1831532019 | Kathleen Gong Essel | Obstetrics & Gynecology | 1840 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-3237 | 2013-04-08 |
1073801965 | Randi Shae Connor | Obstetrics & Gynecology | 102 Central Ave, Chattanooga, TN 37403 | 2011-07-13 |
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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.