Petros Konofaos (NPI# 1720364367, PAC ID# 2264659895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1720364367 |
| PAC ID by PECOS | 2264659895 |
| Professional Enrollment ID | I20140805002773 |
| Full Name | Petros Konofaos |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Address |
853 Jefferson Ave Suite 201 Memphis TN 38103-2807 |
| Phone Number | 9014485950 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3173435369 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 440152 | REGIONAL ONE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1265 Union Ave, Memphis, TN 38104-3415 | 9018668811 | UT MEDICAL GROUP, INC. |
| 1505 N 2nd St, Memphis, TN 38107-1003 | 9017910600 | UT MEDICAL GROUP, INC. |
| 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 9018668801 | UT MEDICAL GROUP, INC. |
| 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 | 9014485950 | UT MEDICAL GROUP, INC. |
| 877 Jefferson Ave, Memphis, TN 38103-2807 | 9018668053 | UT MEDICAL GROUP, INC. |
| Organization Legal Name | UT MEDICAL GROUP, INC. |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Waid | Nurse Practitioner | Ut Medical Group, Inc. | 910 Madison Ave, Suite 922, Memphis, TN 38103-3483 |
| Marthinus Theunis Zeeman | Addiction Medicine | Ut Medical Group, Inc. | 6401 Poplar Ave, Memphis, TN 38119-4823 |
| Charlie Busby | Family Medicine | Ut Medical Group, Inc. | 1999 Hwy 51 S, Covington, TN 38019-3630 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jonathan William Brugger | Ophthalmology | Ut Medical Group, Inc. | 8001 Centerview Pkwy, Suite 101, Cordova, TN 38018-4260 |
| Brian T Fowler | Ophthalmology | Ut Medical Group, Inc. | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 |
| Robert D Wallace | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 1505 N 2nd St, Memphis, TN 38107-1003 |
| Neal Beckford | Otolaryngology | Ut Medical Group, Inc. | 7675 Wolf River Cir, Suite 202, Memphis, TN 38138-1747 |
| Robert B Canada | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Iverson C Bell Jr. | Psychiatry | Ut Medical Group, Inc. | 920 Madison Ave, Suite 200, Memphis, TN 38103-3434 |
| Street Address |
853 JEFFERSON AVE SUITE 201 |
| City | MEMPHIS |
| State | TN |
| Zip | 38103-2807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Canada | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| William L Hickerson | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Margaret C Hastings | Internal Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Philip S Pinsker | Podiatry | 853 Jefferson Ave, Suite 2, Washington, PA 15301-3870 | |
| Mark F Weems | Pediatric Medicine | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Edward A Luce | Plastic and Reconstructive Surgery | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Songul Onder | Nephrology | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Tejesh Patel | Dermatology | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Omer Siddiqui | Nephrology | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Alice Chedid | Nephrology | Ut Medical Group, Inc. | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Rhea Miller | Internal Medicine | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Tomisha Byard | Nurse Practitioner | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Matthew C Hayden | Chiropractic | 45 N 3rd St, Suite 101, Memphis, TN 38103-2354 | |
| Daniel Edward Brezina | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Timothy Alan Head | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap, Memphis, TN 38103-2800 |
| Kristen B Davis | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| James R. Antony Bradley | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Erica Grissom | Certified Registered Nurse Anesthetist (crna) | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Thomas Boyce Hamilton | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Adam P Willis | Anesthesiology | Pediatric Anesthesiologists P A | 50 N Dunlap St, Memphis, TN 38103-2800 |
| Find all physicians in zip 38103 | |||
| City | MEMPHIS |
| Zip Code | 38103 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MEMPHIS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Petros Konofaos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.