Richard L Ennis (NPI# 1841280120, PAC ID# 4587705348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1841280120 |
| PAC ID by PECOS | 4587705348 |
| Professional Enrollment ID | I20100811000648 |
| Full Name | Richard L Ennis |
| Organization Legal Name | SPECIALTY ORTHOPEDICS PC |
| Address |
5220 Park Ave Suite 100 Memphis TN 38119-3541 |
| Phone Number | 9016829161 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2668494493 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 | 9016829161 | SPECIALTY ORTHOPEDICS PC |
| Organization Legal Name | SPECIALTY ORTHOPEDICS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Bobo | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| Michael A Hood | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| John C Taylor | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| Street Address |
5220 PARK AVE SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip | 38119-3541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Bobo | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| Michael A Hood | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| John C Taylor | Orthopedic Surgery | Specialty Orthopedics PC | 5220 Park Ave, Suite 100, Memphis, TN 38119-3541 |
| Christopher B Green | Internal Medicine | 5220 Park Ave, Suite 150, Memphis, TN 38119-3548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Bradley | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Suzanne Ward | Nurse Practitioner | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Karen L Manley | Occupational Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Spencer W Hauser | Orthopedic Surgery | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Dawn Michelle Bierdz | Physical Therapy | Msk Group PC | 1244 Primary Pkwy, Memphis, TN 38119 |
| Ryan S Rahman | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Stephen Sittnick | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Morgan Lisner | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Jeffrey S Nelson | Hospice/palliative Care | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Mehmiya Z. Raghid | Family Medicine | Ut Medical Group, Inc. | 1301 Primacy Pkwy, Memphis, TN 38119-0213 |
| Find all physicians in zip 38119 | |||
| City | MEMPHIS |
| Zip Code | 38119 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MEMPHIS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Richard L Ennis.
| 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.