DR. JOHN STURDIVANT WINFORD III (NPI# 1740390020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740390020 |
| Entity Type | Individual |
| Full Name | DR. JOHN STURDIVANT WINFORD III |
| Credential | DDS |
| Practice Address |
3980 New Covington Pike #306 Memphis TN 38128-2500 |
| Practice Telephone | 9013822887 |
| Practice Fax Number | 9013822322 |
| Mailing Telephone | 9013822887 |
| Mailing Fax Number | 9013822322 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS2606 PERIO 120 | TN | Dental Providers |
| Street Address |
3980 NEW COVINGTON PIKE #306 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296306 | William H Knight | Orthopaedic Surgery | 3980 New Covington Pike, Suite 200, Memphis, TN 38128-2500 | 2005-09-21 |
| 1922550888 | Brandi Calatayud | Nurse Practitioner | 3980 New Covington Pike, Suite 200, Memphis, TN 38128-2500 | 2016-10-26 |
| 1992012421 | Ross Miley Flynt | Physical Therapist | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2010-09-03 |
| 1043546559 | Lisa Marie Singer | Physical Therapy Assistant | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2009-10-19 |
| 1730316571 | Brandt Maddox | Physical Therapy Assistant | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2009-06-19 |
| 1891930319 | Gregory Lee Perry | Physical Therapist | 3980 New Covington Pike, Suite 204, Memphis, TN 38128-2500 | 2008-12-12 |
| 1114177904 | Timothy Taylor | Occupational Therapist | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2008-09-29 |
| 1518142751 | Janet Elizabeth Johnson | Physical Therapy Assistant | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2008-01-07 |
| 1073670618 | Philinese Strong | Physical Therapist | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2007-01-02 |
| 1760566939 | Cliff Thompson Roberts | Occupational Therapist | 3980 New Covington Pike, Suite 108, Memphis, TN 38128-2500 | 2006-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
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| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158185 | Periodontal Associates of Memphis | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-02-07 |
| 1932211349 | Hiram Raymond Fry | Dentist | 1721 Kirby Pkwy, Memphis, TN 38120-4367 | 2006-08-31 |
| 1760489496 | John Stephen Weir | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2005-07-07 |
| 1619327244 | Grant Thomas King | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2016-06-14 |
| 1225262884 | Anastasios Karydis | Dentist | 875 Union Ave, C511, Memphis, TN 38103-3513 | 2009-05-12 |
| 1235308537 | Joan C. Schmitt | Dentist | 5366 Estate Office Dr, Memphis, TN 38119-0611 | 2008-02-21 |
| 1952511578 | J. Stephen Weir, D.d.s., L.L.C. | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2007-05-23 |
| 1144433210 | Mark Randall Patters | Dentist | 875 Union Ave, Univ. of Tennessee, College of Dentistry, Memphis, TN 38163-0001 | 2007-05-07 |
| 1356470835 | Lesley H Binkley Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1639208127 | Preston D Miller Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
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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.