Guy J Photopulos, MD | |
877 Jefferson Ave, Memphis, TN 38103-2807 | |
(901) 545-8999 | |
Not Available |
Full Name | Guy J Photopulos |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
Location | 877 Jefferson Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679502454 | NPI | - | NPPES |
1507228 | Medicaid | TN | |
4165052 | Other | TN | BCBS TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | E1662 (Arkansas) | Secondary |
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 11396 (Tennessee) | Primary |
Entity Name | Ut Regional One Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice Location Address |
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Guy J Photopulos, MD 877 Jefferson Avenue, Provider Enrollment, Memphis, TN 38103 Ph: () - | Guy J Photopulos, MD 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 545-8999 |
Kristin M. Miller, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6750 Poplar Ave, Suite 210, Memphis, TN 38138 Phone: 901-756-6522 Fax: 901-435-0928 | |
Dr. Jason Glenn Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6745 Wolf River Blvd., Memphis, TN 38120 Phone: 901-767-8442 Fax: 901-684-6260 | |
Dr. Owen P. Phillips, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd Ste 201, Memphis, TN 38120 Phone: 901-866-8085 Fax: 901-515-3429 | |
Claudia Leonard Moise, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120 Phone: 901-767-8448 Fax: 901-684-6260 | |
Dr. Kingsley Ogonna Oraedu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6025 Walnut Grove Rd, Ste 316, Memphis, TN 38120 Phone: 901-274-9717 Fax: 901-684-2008 | |
Mitchell Scott Mcalister, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Poplar Ave, Suite 501, Memphis, TN 38112 Phone: 901-271-0896 Fax: 901-271-0897 | |
Dr. Dwight Melvyn Moore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1264 Wesley Dr, Ste 402, Memphis, TN 38116 Phone: 901-396-5577 Fax: 901-396-5585 |