Memphis Pain Management Group, PC
Organization Active NPI Sports Medicine (Family Medicine) Physician · Memphis, TN
NPI 1437449170 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1437449170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- MD430532 (TN)
- Legal business name
- MEMPHIS PAIN MANAGEMENT GROUP, PC
- Practice address
- 6100 Primacy Pkwy
Suite 112
Memphis, TN 38119-0705 - Phone
- (901) 682-5335
- NPI assigned
- Apr 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Russell D Radican
- Title
- President
- Phone
- (901) 682-5335
Practitioners 13
-
Laura Brasher, FNP
-
Howard Bromley, MD
-
Timothy J Callaghan, M.D.
-
Arifa Kathawala, M.D.
-
Amy White, CNM
-
David E Buechner, MD
-
Rickey R Carson, MD
-
Sheryl Blaiss Kirk, FNP
-
Robert Larry Smith, FNP-BC
National Provider Directory
Locations
6100 E Primacy Pkwy
Memphis, TN 38119
Phone (901) 682-5335
6100 E Primacy Pkwy
Ste 112
Memphis, TN 38119
Phone (901) 682-5335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC1171 | TN | |
| Sports Medicine (Family Medicine) Physician |
207QS0010X | MD430532 | TN | Yes |
Addresses
Primary practice location
6100 Primacy Pkwy
Suite 112
Memphis, TN 38119-0705
Mailing address
6100 Primacy Pkwy
Suite 112
Memphis, TN 38119-0705
Phone (901) 682-5335
Other providers in Memphis, TN
- Memphis Opco, LLC
- Memphis Operator LLC
- Memphis Optical Dispensary Inc
- Memphis Orthopaedic Group PC
- Memphis Orthopaedic Medical Supplies,LLC.
- Memphis Pathology Group PC
- Memphis Pathology Laboratory
- Memphis Pediatric Gastroenterology & Hepatology PC
- Memphis Pediatric Heart
- Memphis Physician Partners, PLLC
All providers in Memphis, TN · Sports Medicine (Family Medicine) 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 May 31, 2013. 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.