| Semmes-murphey Clinic Pc | |
|
6325 Humphreys Blvd Memphis TN 38120 | |
| (901) 522-7700 | |
| (901) 522-2600 |
| Full Name | Semmes-murphey Clinic Pc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 6325 Humphreys Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | John Lewis (CEO) |
| Authorized Official Contact | 9015227700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Semmes-murphey Clinic Pc 6325 Humphreys Blvd Memphis TN 38120 Ph: (901) 522-7700 | Semmes-murphey Clinic Pc 6325 Humphreys Blvd Memphis TN 38120 Ph: (901) 522-7700 |
| NPI Number | 1477571891 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 1254235914 |
|---|---|
| Medicare Enrollment ID | O20040202000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477571891 | NPI | - | NPPES |
| 3372326 | Medicaid | TN |
| Provider Name | Stephanie L Einhaus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720078827 PECOS PAC ID: 3870482276 Enrollment ID: I20040313000071 |
| Provider Name | Lattimore Madison Michael |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164413928 PECOS PAC ID: 3476590894 Enrollment ID: I20071022000216 |
| Provider Name | Kenan Arnautovic |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134118789 PECOS PAC ID: 8224127881 Enrollment ID: I20071204000673 |
| Provider Name | Paul Klimo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336127968 PECOS PAC ID: 0941246383 Enrollment ID: I20100706000331 |
| Provider Name | Kelly J Maclain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932455870 PECOS PAC ID: 3678722295 Enrollment ID: I20120925000674 |
| Provider Name | John Brophy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013930296 PECOS PAC ID: 2769668862 Enrollment ID: I20140610000663 |
| Provider Name | Jay Paul Mcdonald |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144532276 PECOS PAC ID: 1254657984 Enrollment ID: I20150224000665 |
| Provider Name | Raul J Cardenas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619187697 PECOS PAC ID: 6507997848 Enrollment ID: I20150715001011 |
| Provider Name | Melanie Ann Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215455639 PECOS PAC ID: 4082970728 Enrollment ID: I20171113001244 |
| Provider Name | Michael S Muhlbauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083603641 PECOS PAC ID: 6608957022 Enrollment ID: I20180112002317 |
| Provider Name | Paul Klimo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336127968 PECOS PAC ID: 0941246383 Enrollment ID: I20180116002359 |
| Provider Name | Gerrie J Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164944039 PECOS PAC ID: 3779842885 Enrollment ID: I20180406000553 |
| Provider Name | Michael Labagnara |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881094357 PECOS PAC ID: 1153615448 Enrollment ID: I20180406001642 |
| Provider Name | Robbie D Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306097845 PECOS PAC ID: 5294893962 Enrollment ID: I20180917001388 |
| Provider Name | Jon H Robertson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871583054 PECOS PAC ID: 1456432871 Enrollment ID: I20180919001694 |
| Provider Name | Daniel A Hoit |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902000698 PECOS PAC ID: 4385717784 Enrollment ID: I20181018001825 |
| Provider Name | Deborah Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447433321 PECOS PAC ID: 9335222140 Enrollment ID: I20181019001635 |
| Provider Name | Lisa M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659844553 PECOS PAC ID: 2567701170 Enrollment ID: I20190226001887 |
| Provider Name | Kyle A Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194081232 PECOS PAC ID: 2466770912 Enrollment ID: I20190723000712 |
| Provider Name | Nitin Goyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922395458 PECOS PAC ID: 2264749530 Enrollment ID: I20201022003838 |
| Provider Name | Chelsea C Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710578703 PECOS PAC ID: 6800296252 Enrollment ID: I20210609000240 |
| Provider Name | Nickalus Reza Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386987899 PECOS PAC ID: 2668612912 Enrollment ID: I20210716000790 |
| Provider Name | Andrew B Boucher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548689482 PECOS PAC ID: 8628471620 Enrollment ID: I20210728003524 |
| Provider Name | Lucas Elijovich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750480554 PECOS PAC ID: 4688673221 Enrollment ID: I20221121000255 |
| Provider Name | Bonnie Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924961 PECOS PAC ID: 7214325455 Enrollment ID: I20230320002954 |
| Provider Name | Bhageeradh Mulpur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128387 PECOS PAC ID: 2567731896 Enrollment ID: I20230417002316 |
| Provider Name | Nicolas Khattar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326400060 PECOS PAC ID: 7113283318 Enrollment ID: I20230703001133 |
| Provider Name | Olivia Gregory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770266785 PECOS PAC ID: 7517320575 Enrollment ID: I20230824001188 |
| Provider Name | Paul Park |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801993167 PECOS PAC ID: 5991747768 Enrollment ID: I20230922000589 |
| Provider Name | Alexandria Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407637135 PECOS PAC ID: 5991151904 Enrollment ID: I20231205002895 |
| Provider Name | Haydn Hoffman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477909380 PECOS PAC ID: 0042556615 Enrollment ID: I20231206004303 |
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