DR. TIMOTHY JANCELEWICZ (NPI# 1821126665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821126665 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JANCELEWICZ |
| Credential | MD |
| Practice Address |
51 N Dunlap St Suite 230 Memphis TN 38105-4625 |
| Practice Telephone | 9012876031 |
| Mailing Telephone | 9012876031 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A90688 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
49713 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
51 N DUNLAP ST SUITE 230 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950934 | Horace Norman Noe | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2006-09-13 |
| 1861810319 | Israel Fernandez-pineda | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2014-04-02 |
| 1558619213 | Abdelhafeez H Abdelhafeez | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105 | 2012-08-28 |
| 1336403021 | Hong Pheng Amos Loh | Surgery | 262 Danny Thomas Pl, Department of Surgery, Memphis, TN 38105-3678 | 2012-06-27 |
| 1437319621 | Mark A Williams M D Pllc | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2008-06-11 |
| 1659531861 | Lindsay Jones Talbot | Surgery | 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105 | 2008-06-11 |
| 1215131792 | Andrew Murphy | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-06-11 |
| 1205047727 | Ying Zhuge Weatherall | Surgery | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2007-05-25 |
| 1548477722 | Adrianne Lee Myers-webb | Surgery | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2007-05-17 |
| 1104047083 | Ankush Gosain | Surgery | 51 N Dunlap St, Ste. 235, Memphis, TN 38105-4625 | 2007-05-01 |
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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.