STF Medical & Management Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000000912 Issued in TN

Legal business name

STF MEDICAL & MANAGEMENT GROUP INC

Practice address

1049 Cresthaven Rd
Memphis, TN 38119-3833

Phone

(901) 761-9798

Fax

(901) 761-9799

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Omotayo OmotundeNPI 1790969632

Title

President

Phone

(901) 937-7641

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Omotayo Omotunde, P.T.,DPT

  • Physical Therapist
  • Bartlett, TN
  • NPI 1790969632
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1316011679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 CRESTHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193833",
            "telephone_number": "901-761-9798",
            "fax_number": "901-761-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 CRESTHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193833",
            "telephone_number": "901-761-9798",
            "fax_number": "901-761-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STF MEDICAL & MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "OMOTUNDE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OMOTAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7641",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakia Danielle Stewart, LPN
• Rachel Yvonne Stewart
• Shannon Leigh Stewart, PHARM.D.
• Teresa A Stewart
• William Clark Stewart Jr., M.D.
• Allison M Stiles, MD
• Evelyn S Stiles, FNP
• Laura Marie Stiles, MS, PA-C
• Jacquelyn F Stinnes, NP
• Sandra Stinnett, M.D.

• Durable Medical Equipment & Medical Supplies in Memphis, TN
• Providers in Memphis, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.