DR. FREDERICK PALMER (NPI# 1760449862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760449862 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK PALMER |
| Credential | MD |
| Practice Address |
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113 |
| Mailing Address |
66 N Pauline St Suite 206 Memphis TN 38105-5105 |
| Practice Telephone | 9014482300 |
| Practice Fax Number | 9014486657 |
| Mailing Telephone | 9014487642 |
| Mailing Fax Number | 9014488015 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
25218 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3081596 | 05 |
| Street Address |
1910 NONCONNAH BLVD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933276 | Cynthia Denise Cross | Emergency Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2005-12-22 |
| 1265719496 | Tamara Devon Jones | Social Worker | 1910 Nonconnah Blvd, Suite #100, Memphis, TN 38132-2113 | 2011-11-16 |
| 1417244765 | Compass Laboratory Services LLC | Clinical Medical Laboratory | 1910 Nonconnah Blvd, 108, Memphis, TN 38132-2113 | 2011-07-07 |
| 1508090986 | Oana Maria Hendea | Audiologist | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2009-05-13 |
| 1649429119 | Dawna J. Willis | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-09-09 |
| 1538315304 | Samir Hasmukh Shah | Pediatrics | 1910 Nonconnah Blvd, Ste 120, Memphis, TN 38132-2113 | 2008-08-13 |
| 1710163373 | Martha Katheryn Ballard | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-01-14 |
| 1861673816 | Keith A. Collins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-11-19 |
| 1851510978 | Mindy A Mullins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-04-25 |
| 1275629396 | Sabrina Burns Kuster | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
| Find all providers in zip 38132 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477786473 | Centrosalud PC | Pediatrics | 2900 Kirby Road, Suite #11, Memphis, TN 38119 | 2009-08-25 |
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1942577549 | Angela Ervin Stevens | Pediatrics | 4738 Walnut Grove Rd, Memphis, TN 38117-2524 | 2011-11-27 |
| 1992741573 | Debra Lee Hanna | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-06-21 |
| 1679530778 | Toni M Whitaker | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2006-05-01 |
| 1801853338 | David A Kube | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1790905974 | John T Netterville Jr. | Pediatrics | The Attention & Behavior Clinic, 2001 Mallory Lane Ste 300, Franklin, TN 37067-8236 | 2007-04-27 |
| 1952354367 | Felicia Merriweather Knowles | Pediatrics | 2182 West St, Germantown, TN 38138-3829 | 2006-05-18 |
| 1790102788 | Katelyn Rossow | Pediatrics | 2200 Children's Way, Monroe Carell Jr. Children's Hospital At Vanderbilt, Nashville, TN 37232 | 2014-03-27 |
| 1366785230 | Center for Developmental and Behavioral Pediatrics | Pediatrics | 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421-3099 | 2013-03-29 |
| 1912268608 | Jane Marie Martinez | Pediatrics | 1211 21st Ave S Ste 110, Nashville, TN 37212-2717 | 2012-05-30 |
| 1972819217 | Cindy Elizabeth Chestaro Alburquerque | Pediatrics | 1101 Carter St, Chattanooga, TN 37402-5017 | 2010-08-24 |
| 1992021364 | Rachel H Goode | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2010-04-10 |
| 1902132509 | Mose and Garrison Siskin Memorial Foundation, Inc. | Pediatrics | 1101 Carter St, Chattanooga, TN 37402-5017 | 2009-11-02 |
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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.