MARTHA MICHELLE BOWDEN (NPI# 1730524216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730524216 |
| Entity Type | Individual |
| Full Name | MARTHA MICHELLE BOWDEN |
| Other Name | MARTHA MICHELLE ROARK |
| Credential | M.D. |
| Practice Address |
51 N Dunlap St Ste. 350 Memphis TN 38105-4625 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Mailing Telephone | 9012875674 |
| Mailing Fax Number | 9012876804 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 54014 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
54014 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
51 N DUNLAP ST STE. 350 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173446 | Dawn Heather Scott | Pediatrics | 51 N Dunlap St, Ste 410, Memphis, TN 38105-4625 | 2005-06-09 |
| 1730732637 | Megan Leeann Parker | Genetic Counselor, MS | 51 N Dunlap St, 4th Fl, Memphis, TN 38105-2802 | 2019-07-19 |
| 1881254290 | Tara Karr | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-06-18 |
| 1912565300 | Ashley Marie Kilpatrick | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-05-31 |
| 1811454291 | Cady Danielle Burcham | Nurse Practitioner | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-02-21 |
| 1154861219 | Ut Medical Group, Inc. | General Acute Care Hospital | 51 N Dunlap St, Neonatal Intensive Care Unit, Memphis, TN 38105-4625 | 2017-03-08 |
| 1669911756 | Jenny R. Strelsin | Nurse Practitioner | 51 N Dunlap St, 2nd Floor, Memphis, TN 38105-4625 | 2017-02-22 |
| 1437608114 | Sarah Carter | Registered Nurse | 51 N Dunlap St, Memphis, TN 38105-4625 | 2016-09-23 |
| 1699221028 | Meredith Canale | Registered Nurse | 51 N Dunlap St, Suite 400, Memphis, TN 38105-4625 | 2016-08-26 |
| 1871955351 | Sharon Hogue | Nurse Practitioner | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2016-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| 1063597979 | James Langston Cowan IIi | Pediatrics | 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 | 2006-10-26 |
| 1164511085 | Svetlana Yanishevski | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-11 |
| 1790735124 | Tamara P Folz | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2006-05-10 |
| 1346649894 | Kids Care Medical Center | Pediatrics | 6073 Mt Moriah Rd Ext, Suite 2, Memphis, TN 38115-2666 | 2014-08-21 |
| 1548514771 | Contemporary Pediatrics, Pa | Pediatrics | 4250 Faronia Rd, Memphis, TN 38116-6527 | 2012-11-09 |
| 1508027459 | Preeti Palakurthi | Pediatrics | 2860 Covington Pike, Memphis, TN 38128-8090 | 2008-06-23 |
| 1487797536 | Memphis & Shelby County Pediatric Group | Pediatrics | 6479 Winchester Rd, Suite 118, Memphis, TN 38115-4240 | 2007-02-15 |
| 1376622811 | James F. Stanford | Pediatrics | 5575 Poplar Ave, Ste 112, Memphis, TN 38119-3856 | 2006-11-03 |
| 1699857680 | Charles Christopher Hanson | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-19 |
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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.