Titan Orthopedics of Memphis, PLLC
Organization Active NPI Orthopaedic Surgery Physician · Memphis, TN
NPI 1013463694 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1013463694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 28565 (TN)
- Legal business name
- TITAN ORTHOPEDICS OF MEMPHIS, PLLC
- Practice address
- 795 Ridge Lake Blvd
Suite 103
Memphis, TN 38120-9475 - Phone
- (662) 534-2227
- Fax
- (662) 534-5542
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- John Joseph Lochemes, M.D.
- Title
- President
- Phone
- (901) 337-1592
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 24
Practitioners 38
-
Tom Austin, DPT
-
Kera Bergeron, PA-C
-
Jason Andrew Brashear, M.D.
-
Tavis D. Clonch, P.A.
-
Andrew H Crenshaw, M.D.
-
John R Crockarell, M.D.
-
Dale Dawson, P.A.
-
Michella Glenna Douglas, PA-C
-
Brian Keith Elliott, P.A.
-
James A Goss, M.D.
-
Kyle Hagan, PA0C
-
Elizabeth N Harris, PA-C
-
Lauren Hill, PA
-
James D McKinney, MD
-
Carolyn Poleski, MS, PA-C
-
Kendra Rae Potter, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615000216 | TN | Part B Supplier - Clinic/Group Practice | 9638082076 |
Receives reassigned benefits from 278 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Johnson City, TN; Sparta, TN; Millington, TN; Memphis, TN; McMinnville, TN; Livingston, TN; Kingsport, TN; Jackson, TN… |
National Provider Directory
- Tax ID family
- Campbell Clinic
Interoperability endpoints
- https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 28565 | TN | Yes |
Addresses
Primary practice location
795 Ridge Lake Blvd
Suite 103
Memphis, TN 38120-9475
Mailing address
206 Oxford Rd
New Albany, MS 38652
Phone (662) 534-2227
Other providers in Memphis, TN
- Ivan Manuel Tinoco Martin
- Danielle Tipping
- Tipton County Internal Medicine PLLC
- Channing Tipton
- Jack W Tipton
- Dana Tlais
- TLC Medical & Physical Therapy Clinic,LLC
- Tlo Services LLC
- TLT Transport LLC
- TN Doctors of Optometry, PLLC
All providers in Memphis, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.