Medical Group of Memphis LLC
Organization Active NPI Specialist · Germantown, TN
NPI 1265589261 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265589261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- MEDICAL GROUP OF MEMPHIS LLC
- Practice address
- 8040 Wolf River Blvd
Suite #200
Germantown, TN 38138 - Phone
- (901) 726-0200
- Fax
- (901) 726-0210
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Roger Struble
- Title
- Executive Director
- Phone
- (901) 726-0200
Practitioners 15
-
Mohammad I Abutineh, M.D.
-
Aliya Ahmed, M.D.
-
Terinell Beaver, MD
-
Charles L. Carter, M.D.
-
Mark A Castellaw, MD
-
Barbara P Evangelisti, NP-C
-
Richard J Jordan, MD
-
Alka Kamo, M.D.
-
Rebecca R McIntyre, M.D.
-
Lora A Pomykala, MD
-
Deanna K Speight, DNP, APRN-BC, FNP
-
Steven I Wener, MD
-
Dana J Wright, MD
-
Scott A. Wylie, PH.D.
National Provider Directory
Locations
1734 Madison Ave
Memphis, TN 38104
Phone (901) 722-9420
8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | TN | Yes |
Addresses
Primary practice location
8040 Wolf River Blvd
Suite #200
Germantown, TN 38138
Mailing address
8040 Wolf River Blvd
Suite #200
Germantown, TN 38138
Phone (901) 726-0200
Other names
- The Medical Group LLC
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.