Patrick Malone (NPI# 1194710160, PAC ID# 6800058017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194710160 |
| PAC ID by PECOS | 6800058017 |
| Professional Enrollment ID | I20120504000549 |
| Full Name | Patrick Malone |
| Organization Legal Name | UT REGIONAL ONE PHYSICIANS INC |
| Address |
2500 Peres Ave Memphis TN 38108-1660 |
| Phone Number | 9015155500 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5698993418 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440152 | REGIONAL ONE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2500 Peres Ave, Memphis, TN 38108-1660 | 9015155500 | UT REGIONAL ONE PHYSICIANS INC |
| 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2382 | 9018668085 | UT REGIONAL ONE PHYSICIANS INC |
| Organization Legal Name | UT REGIONAL ONE PHYSICIANS INC |
| Physicians | 240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Irene Warner | Vascular Surgery | Ut Regional One Physicians Inc | 877 Jefferson Ave, Memphis, TN 38103-2807 |
| Lauren Rhea Miller | Internal Medicine | Ut Regional One Physicians Inc | 718 Harbor Bend Rd, Memphis, TN 38103-0888 |
| Anne Briton Craddock Wynn | Endocrinology | Ut Regional One Physicians Inc | 890 Madison Ave, Memphis, TN 38103-3409 |
| Cinda Cox Berryhill | Nurse Practitioner | Ut Regional One Physicians Inc | 3109 Walnut Grove Rd, Memphis, TN 38111-3509 |
| Owen P Phillips | Obstetrics/gynecology | Ut Regional One Physicians Inc | 880 Madison Ave, Memphis, TN 38103-3409 |
| Carol W Simmons | Nurse Practitioner | Ut Regional One Physicians Inc | 6555 Quince Rd, Memphis, TN 38119-8202 |
| Kathy Y White | Nurse Practitioner | Ut Regional One Physicians Inc | 1955 S 3rd St, Memphis, TN 38109-7713 |
| Bharathi Rangaswami | Family Medicine | Ut Regional One Physicians Inc | 1064 Breedlove St, Memphis, TN 38107-2805 |
| Jerry W Jones | Anesthesiology | Ut Regional One Physicians Inc | 877 Jefferson Ave, Memphis, TN 38103-2807 |
| Marla Anne Tow | Certified Registered Nurse Anesthetist (crna) | Ut Regional One Physicians Inc | 877 Jefferson Ave, Memphis, TN 38103-2807 |
| Street Address |
2500 PERES AVE |
| City | MEMPHIS |
| State | TN |
| Zip | 38108-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Williams | Certified Nurse Midwife (cnm) | Ut Regional One Physicians Inc | 2500 Peres Ave, Memphis, TN 38108-1660 |
| Tara Y Mabon | Nurse Practitioner | Ut Regional One Physicians Inc | 2500 Peres Ave, Memphis, TN 38108-1660 |
| Davin P Johnson | Certified Nurse Midwife | Ut Regional One Physicians Inc | 2500 Peres Ave, Memphis, TN 38108-1660 |
| Amber M Peasley | Certified Nurse Midwife | Ut Regional One Physicians Inc | 2500 Peres Ave, Memphis, TN 38108-1660 |
| Brenda Loft | Certified Nurse Midwife | Ut Regional One Physicians Inc | 2500 Peres Ave, Memphis, TN 38108-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles H Hubbert | Neurology | Wesley Neurology Clinic PC | 8000 Centerview Pkwy, Memphis, TN 38108-5210 |
| City | MEMPHIS |
| Zip Code | 38108 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEMPHIS + INTERNAL MEDICINE |
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| 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.