DR. SAM DELK (NPI# 1922026707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922026707 |
| Entity Type | Individual |
| Full Name | DR. SAM DELK |
| Credential | M.D |
| Practice Address |
176 S Bellevue Blvd Suite 505 Memphis TN 38104-3417 |
| Mailing Address |
Po Box 126 Memphis TN 38101-0126 |
| Practice Telephone | 9017250421 |
| Practice Fax Number | 9012784675 |
| Mailing Telephone | 9017572345 |
| Mailing Fax Number | 9017579065 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 37329 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3003101 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 0037329 | 01 |
| Street Address |
176 S BELLEVUE BLVD SUITE 505 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971637 | Bryan Paul Simmons | Internal Medicine | 176 S Bellevue Blvd, Suite 603, Memphis, TN 38104-3424 | 2005-06-08 |
| 1760508089 | Natarsha Denine Grant | Internal Medicine | 176 S Bellevue Blvd, Suite 502, Memphis, TN 38104-3417 | 2007-03-21 |
| 1164554572 | Fadi Daher | Internal Medicine | 176 S Bellevue Blvd, Suite 502, Memphis, TN 38104-3417 | 2007-03-12 |
| 1275567349 | Sam Delk. M.d. | Surgery | 176 S Bellevue Blvd, Suite 505, Memphis, TN 38104-3417 | 2006-07-11 |
| 1285689091 | Ellena Henderson | Internal Medicine | 176 S Bellevue Blvd, Suite 603, Memphis, TN 38104-3417 | 2006-05-23 |
| 1336143361 | William Harmon Tettelbach | Internal Medicine | 176 S Bellevue Blvd, Suite 603, Memphis, TN 38104-3424 | 2005-06-08 |
| 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 | 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 |
| 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.