Ut Medical Group Inc

LBN: Ut Medical Group Inc
Ut Medical Group Inc is an health care organization with primary practice located at 1068 Cresthaven Rd Ste 300 , Memphis TN 38119-0809. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Ut Medical Group Inc can be contacted via phone (901) 866-8864, or through Love, Courtney via phone (901) 866-8105.

Contact Information

Primary practice address
1068 Cresthaven Rd Ste 300 Memphis TN 38119-0809
Phone: (901) 866-8864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Love, Courtney
Phone: (901) 866-8105

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1780676650
LBN Legal business name Ut Medical Group Inc
DBA Doing business as
Authorized official Love, Courtney
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Jan 23rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780676650 NPPES
Alabama MEDICAID 154277
Alabama MEDICAID 3715279
Alabama MEDICAID 107355002
Alabama MEDICAID 500425103
Alabama MEDICAID 04721062
Alabama MEDICAID 1780676650
Alabama MEDICAID 65906117

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