JEFFREY M SORENSON (NPI# 1760472757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760472757 |
| Entity Type | Individual |
| Full Name | JEFFREY M SORENSON |
| Credential | MD |
| Practice Address |
1325 Eastmoreland Ave Ste 200 Memphis TN 38104-3519 |
| Mailing Address |
6325 Humphreys Blvd Memphis TN 38120-2300 |
| Practice Telephone | 9012595340 |
| Practice Fax Number | 9012595300 |
| Mailing Telephone | 9015227700 |
| Mailing Fax Number | 9015222600 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD36662 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3877216 | 05 | |
| MS | 00126492 | 05 |
| Street Address |
1325 EASTMORELAND AVE STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255526 | Wendy L Dusenbury | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2005-06-16 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1356793327 | Meredith Alexis Rone | Nurse Practitioner | 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 | 2016-07-01 |
| 1073915823 | Ut Methodist Physicians | General Acute Care Hospital | 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104-3519 | 2014-09-24 |
| 1740533595 | Mallory J Hamsher | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 | 2012-10-17 |
| 1538418389 | Shekinah Jaquay Andrews | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2012-09-06 |
| 1750649646 | Rebecca L Reasons | Dietitian, Registered | 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 | 2012-04-27 |
| 1548550320 | Tracrw LLC H | Clinic/Center | 1325 Eastmoreland Ave, Memphis, TN 38104-3519 | 2011-04-13 |
| 1821397902 | Thomas M Middleton Jr. | Counselor | 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063744605 | Dee James Canale | Neurological Surgery | 4639 Peppertree Lane, Memphis, TN 38117-3920 | 2010-02-08 |
| 1598933301 | John Sloan Winestone | Neurological Surgery | 5270 Walnut Grove Rd, Memphis, TN 38120-1931 | 2008-02-14 |
| 1518950831 | Fereidoon Parsioon | Neurological Surgery | 5673 S Rex Rd, Memphis, TN 38119-3821 | 2005-08-23 |
| 1023011103 | Harry Friedman | Neurological Surgery | 920 Estate Dr, Suite 16, Memphis, TN 38119 | 2005-05-23 |
| 1932708054 | Healthcare Network Tennessee, Inc. | Neurological Surgery | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-10-20 |
| 1881094357 | Michael Labagnara | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2014-09-03 |
| 1336400456 | Jeremy Charles Peterson | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-06-05 |
| 1265792576 | William E Humphries IIi | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-05-21 |
| 1194081232 | Kyle Anthony Smith | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-04-03 |
| 1104115385 | Aaron Bond | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120 | 2011-03-28 |
| Find all providers in MEMPHIS | ||||
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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.