BAPTIST MEMORIAL MEDICAL GROUP INC (NPI# 1831422104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831422104 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Practice Address |
6215 Humphreys Blvd Suite 505 Memphis TN 38120-2367 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 9012278950 |
| Practice Fax Number | 9012278951 |
| Mailing Telephone | 9012277463 |
| Mailing Fax Number | 9012275699 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | DONALD R POUNDS (CFO / SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9012277463 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL MEDICAL GROUP INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087324 | Baptist Memorial Medical Group Inc | Pharmacy | 8040 Wolf River Blvd Ste 200, Germantown, TN 38138-1775 | 2019-01-22 |
| 1306089206 | Baptist Memorial Medical Group Inc | Urology | 8970 Winchester Rd, Memphis, TN 38125-8231 | 2009-04-08 |
| 1013156173 | Baptist Memorial Medical Group Inc | Urology | 1109 E Reelfoot Ave, Suite I, Union City, TN 38261-5856 | 2009-02-13 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1689837361 | Baptist Memorial Medical Group Inc | Internal Medicine | 1995 Highway 51 S, Covington, TN 38019-3635 | 2008-07-03 |
| 1154597896 | Baptist Memorial Medical Group Inc | Psychiatry & Neurology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2008-05-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1568651297 | Baptist Memorial Medical Group Inc | Obstetrics & Gynecology | 2100 Exeter Rd, Germantown, TN 38138-3922 | 2007-10-18 |
| 1629262027 | Baptist Memorial Medical Group Inc | Internal Medicine | 1109 E Reelfoot Ave, Suite A, Union City, TN 38261-5856 | 2007-08-29 |
| Street Address |
6215 HUMPHREYS BLVD SUITE 505 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599316 | Michael Stuart Bronstein | Specialist | 6215 Humphreys Blvd, Ste 400, Memphis, TN 38120-2367 | 2005-06-21 |
| 1245655661 | Charity Brees | Nurse Practitioner | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2367 | 2014-02-21 |
| 1487082699 | Ebony Smith | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2013-10-25 |
| 1477831261 | Kristal D Taylor | Specialist | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-07-27 |
| 1174815609 | Catherine Ann Alexander | Pediatrics | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2373 | 2011-05-02 |
| 1215234505 | Leslie B Norman | Nurse Practitioner | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-02-22 |
| 1538471248 | Ana Tobiasz | Obstetrics & Gynecology | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2010-07-10 |
| 1013238054 | Jason Glenn Williams | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 401, Memphis, TN 38120-2367 | 2010-06-14 |
| 1720309750 | Mary Katherine Johnson | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 100, Memphis, TN 38120-2367 | 2010-06-14 |
| 1073840104 | Annjanette Marie Howsan | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2009-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1609132554 | Elizabeth He Wood | Surgery | 910 Madison Avenue Suite 310, Memphis, TN 38163-3328 | 2012-04-04 |
| 1124255161 | Sean D Mccarney | Surgery | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2009-06-17 |
| 1275775587 | Charles Nicholas Eisenhauer Iv | Surgery | 6029 Walnut Grove Rd Ste 404, Memphis, TN 38120-2112 | 2009-04-01 |
| 1982877973 | John Shelton Nelson | Surgery | 1251 Wesley Dr Ste 151, Memphis, TN 38116-6443 | 2008-04-10 |
| 1588879845 | David Louis Webb Jr. | Surgery | 6029 Walnut Grove Rd Ste 106, Memphis, TN 38120-2112 | 2007-05-11 |
| 1578788535 | Mary Brinson Owens | Surgery | 1325 Eastmoreland Ave Ste 370, Memphis, TN 38104-7542 | 2007-04-16 |
| 1639392400 | Regan Frances Williams | Surgery | 51 N Dunlap St Ste 230, Memphis, TN 38105-4625 | 2007-04-10 |
| 1871502468 | Eugene Mangiante | Surgery | 241 S Grove Park Rd, Memphis, TN 38117-3505 | 2006-08-05 |
| 1669427886 | Meyer Eye Group Plc | Surgery | 1000 Brookfield Rd Ste 275, Suite 100, Memphis, TN 38119-0801 | 2006-05-24 |
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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.