The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1437449170 |
NPI Entity Type | Organization |
Provider Name | Memphis Pain Management Group, Pc |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 6100 Primacy Pkwy, Suite 112, Memphis, TN, US |
Provider Mailing Address | 6100 Primacy Pkwy, Suite 112, Memphis, TN, US, 381190705 |
Is Sole Proprietor? | No |
Official Name | Russell D Radican |
Official Position | PRESIDENT |
Phone | 901-682-5335 |
Taxonomy Code | 193200000X |
Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Taxonomy Code | |
Taxonomy Name | Sports Medicine (Family Medicine) Physician |
Classification | |
Group | |
License No. | MD430532 |
License State | TN |
Description | A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
DC1171 | TN | No |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MRS. RN Emily Rae Johnson Individual |
315 Hospital Dr |
||
PHARMD Rebecca Brittany Clegg Individual |
1430 S Roan St |
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Christopher Byrd Individual |
4221 Maynardville Hwy |
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MD Shalacia Palmer Leblanc Individual |
3400 Lebanon Rd |
||
DR. DNP, CRNA Mark Timothy Cresap Individual |
7357 Lucky Clover Ln |
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Khumalo Foot And Ankle Clinic, Inc Organization |
1109 E Reelfoot Ave Ste D |
||
CCC-SLP Azjah Watson Individual |
70 Timber Creek Dr |
||
MS. DNP Ala'a Mitoubsi Individual |
1926 Alcoa Hwy |
||
NEMT Olivia Williams Individual |
8097 Waterford Cir Apt 204 |
||
Megan Nichole Trujillo Individual |
2740 Saint Andrews Dr |
||
M.D. David D. Buckman Individual |
2320 Wilma Rudolph Blvd. |
||
Ashley Myers Individual |
1211 Medical Center Dr |
||
Jessica Gomez Individual |
1727 N Germantown Pkwy Ste 107 |
||
Park Center Organization |
1935 21st Ave S |
||
DR. M.D. Melissa Lynn Mckittrick Individual |
3400 Lebanon Rd |
||
FNP-BC Misty Renee Nichols Individual |
2216 Rainbow Ln |
||
MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
||
Dovamed Medical Organization |
545 Mainstream Dr Ste 102 |
||
Taylor Woods Individual |
6019 Walnut Grove Rd |
||
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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