View
253
Download
4
Category
Preview:
Citation preview
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02656361 1619067295 ABBOTT, BRIAN L MD MEMPHIS TN
07952557 1922557909 ABDELGHANI, MAHMOD FNP MEMPHIS TN
03773238 1558619213 ABDELHAFEEZ, ABDELHAFEEZ H MD MEMPHIS TN
05807360 1861615627 ABDU, ADIO I MD MEMPHIS TN
06926716 1477005577 ABDU, CHARITY R WHNP MEMPHIS TN
08683268 1780048397 ABDUL HAMID, OMER A MEMPHIS TN
00126346 1386741676 ABDULKARIM, AHMAD B MD MEMPHIS TN
01353875 1417280835 ABDULLAH, FARIA MD MEMPHIS TN
06926726 1184801367 ABDULLAH, JAVED MD GERMANTOWN TN
00401036 1134386592 ABDUS SALAAM, SHARIF A MD MEMPHIS TN
07308836 1376920207 ABRAMS, CHRISTINA MD MEMPHIS TN
08908226 1831485788 ABU AL HOMMOS, NISREEN MD MEMPHIS TN
00115562 1942258983 ABUSHAER, MUHAMMAD MD MEMPHIS TN
02550349 1639436603 ACHARYA, SAHAJA MD MEMPHIS TN
01334301 1841614252 ACHARYA, SAURAV MEMPHIS TN
03371362 1114158698 ACOSTA, VIOLIZA I MD MEMPHIS TN
03932595 1063673119 ADABALA, JAYA L MD MEMPHIS TN
01924255 1356756175 ADAIR, ERIK DO MEMPHIS TN
08226047 1104816990 ADAMOLEKUN, BOLANLE MD CORDOVA TN
00015719 1649275322 ADAMS II, JAMES W II MD MEMPHIS TN
03074751 1700960812 ADAMS, MARK C MD MEMPHIS TN
00112518 1578529202 ADAMS-GRAVES, PATRICIA E MD MEMPHIS TN
00121227 1023011236 ADDERSON, ELISABETH E MEMPHIS TN
05185848 1114228087 ADDESS, TANIA L NP GERMANTOWN TN
00016374 1790752566 ADDINGTON, MILTON B MD GERMANTOWN TN
00587244 1770895252 ADEJORIN, OLUWASEYI D MD MEMPHIS TN
07035569 1033302013 ADETUNJI, EZEKIEL O MD JACKSON TN
04987064 1699262840 ADKINS, ALIVIA MEMPHIS TN
Jun 24, 2018 1 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06152036 1629575071 ADKINS, WILLIAM P MEMPHIS TN
08132527 1558593210 AFENYA, KENNETH K MD COVINGTON TN
00126670 1760579890 AFTAB GUY, DEANNA L M.D. NASHVILLE TN
04524308 1598988073 AFZAL, MUHAMMAD MD MEMPHIS TN
07103367 1457700163 AGARWAL, AKHIL K MEMPHIS TN
03107850 1992182406 AGARWAL, MANYOO MEMPHIS TN
08332262 1265675201 AGBAOSI, OLUWATOYIN MD MEMPHIS TN
08402275 1649505124 AGBIM, UCHENNA A MD MEMPHIS TN
00423023 1104815117 AGOSTINI-MIRANDA, ALEX A MD MEMPHIS TN
00476854 1144485418 AGRAWAL, VIJAYKUMAR MD MEMPHIS TN
00110741 1659362960 AGUILLARD, ROBERT N MD MEMPHIS TN
01851872 1639494040 AGULNIK, ASYA L MD MEMPHIS TN
06171712 1972829166 AHLERS, DAVID MD GERMANTOWN TN
05833713 1013271485 AHMAD, HAMAD MD MEMPHIS TN
03735291 1215026620 AHMED, ALIYA MD COLLIERVILLE TN
01551581 1154355592 AHMED, NAZNEEN S MD MEMPHIS TN
05151771 1790971885 AHMED, SHAMEELA N MD ATOKA TN
03404723 1205886595 AKBIK, MOHAMAD J MD BARTLETT TN
00327275 1689884439 AKHIGBE, CHURCHILL A MD MEMPHIS TN
00116758 1720088297 AKINS, STEVEN L M.D. MEMPHIS TN
06208866 1417354283 AKINSEYE, OLUWASEUN A MEMPHIS TN
06729219 1831115419 AKINWUMIJU, OLAYINKA O MD CORDOVA TN
04170723 1720211675 AL-FAKHOURI, AHMAD MD MEMPHIS TN
00126071 1851357586 AL-HAMDA, AHMAD B MD MEMPHIS TN
03955596 1356399117 AL-SHALLAH, ZAHER MD MEMPHIS TN
00336577 1508025032 AL-ZUBEIDI, HIBA MD MEMPHIS TN
00012171 1295840510 ALABASTER, ALAN M MD MEMPHIS TN
06528091 1083139265 ALAEDDIN, HUDA A PA-C MEMPHIS TN
Jun 24, 2018 2 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09757275 1245216548 ALAM, ARIF S MD MEMPHIS TN
05935563 1043553589 ALANA, ALLEN NICOLE C MD MEMPHIS TN
05179521 1417215492 ALDRIDGE, DANIELLE R FNP MEMPHIS TN
08954869 1609140078 ALDRIDGE, SARAH H NP MEMPHIS TN
04786822 1346291853 ALEMZADEH, RAMIN MD MEMPHIS TN
01605838 1205369857 ALEXANDER, NATHANIEL B MD MEMPHIS TN
02172834 1275768640 ALEXANDER, THOMAS B MD MEMPHIS TN
04686751 1861526915 ALEXANDROV, ANDREI V MD MEMPHIS TN
06489296 1366727893 ALGOTAR, ANUSHREE MD MEMPHIS TN
04188871 1114119427 ALI, BILAL MD MEMPHIS TN
04320521 1356508600 ALI, CINA J MD MEMPHIS TN
01720783 1235153719 ALI, IRFAM GERMANTOWN TN
07629809 1518918937 ALI, MAHMOOD MD MEMPHIS TN
04302266 1336582519 ALIKHANI, ALI M.D. MEMPHIS TN
00906595 1053554303 ALLEN, ALEXANDRIA D MD MEMPHIS TN
08024024 1033596218 ALLEN, AMANDA S NP GERMANTOWN TN
06873821 1548759194 ALLEN, JAKOB H MD MEMPHIS TN
04871523 1568769040 ALLEN, MARY P NP GERMANTOWN TN
07273252 1467891705 ALMADDAH, NUREDDIN MEMPHIS TN
08621824 1891890430 ALSAFWAH, SHADWAN F MD MEMPHIS TN
01538282 1942798004 ALSBROOK, DIANA L MEMPHIS TN
07635331 1396951687 ALSHEIKH ALI, MOHAMMED H MD MEMPHIS TN
03004762 1720309248 ALSHERBINI, KHALID A MD MEMPHIS TN
03302390 1952350233 ALTABBAA, AHMAD H MD MEMPHIS TN
06550284 1306005905 ALTOMAR, JONATHAN L MD MEMPHIS TN
05976044 1952543084 ALVAREZ, SONIA M MD GERMANTOWN TN
09601857 1073578399 AMIN, MAHUL B MD MEMPHIS TN
00178769 1255770061 AMIN, NOMISHA N MEMPHIS TN
Jun 24, 2018 3 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01480311 1821265356 AMIN, SUMAIYA MD MEMPHIS TN
09484096 1952507816 AMOS-YOUNG, CYNTHIA L MEMPHIS TN
00126505 1548217524 ANDERSHOCK, CHRISTOPHER J MD MEMPHIS TN
05586774 1558617464 ANDERSON, CASEY L MEMPHIS TN
07257398 1053775726 ANDERSON, HILARY B MEMPHIS TN
09650041 1033392337 ANDERSON, JAMES H DMD MEMPHIS TN
00116765 1770583049 ANDERSON, KEITH G MD GERMANTOWN TN
08385209 1639487556 ANDERSON, KRISTEN N FNP MEMPHIS TN
02426731 1891084935 ANDERSON, STEPHANIE D MD MEMPHIS TN
04436842 1902218795 ANDERSON, TUCKER MD MEMPHIS TN
01488337 1508382615 ANDREWS, HILARY PA GERMANTOWN TN
00124676 1255312336 ANDREWS, JAMES M MD MEMPHIS TN
03822281 1538418389 ANDREWS, SHEKINAH J NP MEMPHIS TN
02870861 1427582790 ANDRING, ALYSSA MEMPHIS TN
04057051 1104115567 ANDRY, BRITTANY L MD MEMPHIS TN
00628506 1871655498 ANELLO, MARIA L DO MEMPHIS TN
00120823 1245233451 ANGHELESCU, DORALINA L MD MEMPHIS TN
05087052 1881858165 ANIMALU, CHINELO MD MEMPHIS TN
06757700 1013930478 ANKROM, PETER C DO MEMPHIS TN
03634050 1952729113 ANSARI SADRABADI, SAEED MEMPHIS TN
04086291 1699986596 ANSCHULTZ, JOYCE D NP MEMPHIS TN
02985860 1295997666 ANTONYRAJAH, BERNADETTE C MD MEMPHIS TN
05877009 1295018216 APALODIMAS, LEAH M APN MEMPHIS TN
01121333 1104197391 ARAVAPALLI, NIDHI PA MEMPHIS TN
00331065 1568750347 ARAVAPALLI, SRIKANTH MD MEMPHIS TN
00125864 1841267846 ARCOT, KISHORE K MD MEMPHIS TN
08382203 1720136369 AREVALO, ALEJANDRO R MD MEMPHIS TN
04922850 1356623201 ARGOTI TORRES, PEDRO S MD MEMPHIS TN
Jun 24, 2018 4 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05473896 1407210966 ARIAIL, ELLEN F MEMPHIS TN
06476763 1891927810 ARIF, FAISAL MD MEMPHIS TN
08480046 1780628776 ARKAVA, TODD E MD NASHVILLE TN
00027511 1639537830 ARMENISE, VANESSA L NP MEMPHIS TN
07951870 1225142102 ARMSTRONG, GREGORY T MD MEMPHIS TN
00303201 1184730228 ARMSTRONG, MARSHA C MEMPHIS TN
01736552 1750839122 ARMSTRONG, MICHELLE M NP MEMPHIS TN
00126788 1134118789 ARNAUTOVIC, KENAN MD MEMPHIS TN
09307880 1649207242 ARNOLD, ANITA L MD MEMPHIS TN
03105240 1366965071 ARNOLD, CHANDRA C PA MEMPHIS TN
00707304 1538514245 ARNOLD, COSBY G MEMPHIS TN
01427018 1134591290 ARNOLD, KATHERINE A PA GERMANTOWN TN
00125115 1417913799 ARNOLD, SANDRA L MD MEMPHIS TN
08021816 1851358618 ARNOLD, VALERIE K MD MEMPHIS TN
02183541 1548713191 ARNOLD-ROSS, ANGELA L NP MEMPHIS TN
00226232 1427210616 ARRINDELL JR, ESMOND L MD MEMPHIS TN
09927004 1447220306 ARRINDELL, ESMOND L MD MEMPHIS TN
08259861 1982693313 ARTHUR, ADAM S MD MEMPHIS TN
00174201 1558867721 ASEMOTA, BROOKE I MEMPHIS TN
01651331 1528364213 ASFAW, ASFAWOSSEN B MD MEMPHIS TN
04755539 1982019378 ASHRAF, FARHAN MEMPHIS TN
08458866 1710331061 ASHRAF, UZAIR MEMPHIS TN
08601721 1205812518 ASI, MARIA C MD MEMPHIS TN
03001574 1659577278 ASIF SIDDIQUI, OMER M MD MEMPHIS TN
03679223 1033313671 ASKARI, RAZA MD MEMPHIS TN
07139238 1356640502 AST, ALLISON M MD MEMPHIS TN
02872828 1295223543 ATAGA, ONOMEASIKE MEMPHIS TN
00638358 1679746119 ATHERTON, JAMES G MD MEMPHIS TN
Jun 24, 2018 5 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00123811 1811947195 ATKINSON III, EDWARD MD MEMPHIS TN
05385859 1144635764 ATTAWAY, DAVID S MD JASPER TN
06089766 1659868305 ATYIA, SEIF A MEMPHIS TN
00118685 1205892353 AULT, BETTINA MD MEMPHIS TN
06151267 1528207594 AUSTIN, MARISA NP GERMANTOWN TN
04203521 1114414729 AUSTIN, SOPHIE L MD MEMPHIS TN
00117158 1780633966 AVGERIS, JOHN A MD GERMANTOWN TN
09278543 1013103449 AWAN, MONAM MD MEMPHIS TN
08785559 1710934153 AWDEN, MAHIR R MD MEMPHIS TN
07771040 1811158967 AWWAD, REEM S MD COLLIERVILLE TN
07832377 1154657468 AYERS, SHEILA E NP GERMANTOWN TN
09780856 1760819007 AZIZ, MICHAEL MEMPHIS TN
08332851 1043449085 AZIZ, MUZAMMIL MEMPHIS TN
04552294 1336366293 AZOUZ, ABDALLAH MD MEMPHIS TN
01522274 1609161306 AZZATO, ELIZABETH M MD MEMPHIS TN
04870587 1497049449 BA, ABDUL R DPM MEMPHIS TN
03174756 1588621031 BACHIER, CARLOS R MD NASHVILLE TN
09178571 1730226804 BADURA, KELLY M PA MEMPHIS TN
05185084 1184835837 BAGGA, BINDIYA MD MEMPHIS TN
05424251 1750671459 BAGWELL, TAYLOR MD MEMPHIS TN
00406340 1013178854 BAHRAMI, ARMITA MD MEMPHIS TN
04825714 1386002228 BAILEY, ARIKA D NP MEMPHIS TN
01882844 1598769515 BAILEY, IRIS E MD MEMPHIS TN
00122775 1659338663 BAILEY, JAMES E MD MEMPHIS TN
00019494 1295700292 BAILEY, JAMES W MD KNOXVILLE TN
09829255 1396778247 BAILEY, NANCY M NP MEMPHIS TN
00578273 1235525593 BAKER, ANNA PNP MEMPHIS TN
05630767 1093959306 BAKER, BENJAMIN MD MEMPHIS TN
Jun 24, 2018 6 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08824046 1588109094 BAKER, BRIGETTE NP GERMANTOWN TN
06427848 1225334469 BAKER, ELIZABETH M MEMPHIS TN
09486367 1003801796 BAKER, JOHN W MD JACKSON TN
02059311 1750592580 BAKER, JUSTIN N MD MEMPHIS TN
04528323 1487074712 BAKKE, JOSHUA MD MEMPHIS TN
01434076 1851747695 BAKKE, JOSHUA R M.D. MEMPHIS TN
04957740 1154688851 BALARAMAN, VASANTHI MD MEMPHIS TN
00053773 1487994265 BALL, EMILIE M FNP MEMPHIS TN
03927256 1295259224 BALL, MICHAEL W APN MEMPHIS TN
05029763 1013017094 BALLO, MATTHEW T MD GERMANTOWN TN
06507895 1174628010 BANDURA, JACK P MD MEMPHIS TN
05978764 1437436318 BANKS, TAMARA M NP MEMPHIS TN
06073541 1063946689 BANKSTON, MORGAN M MEMPHIS TN
09933095 1922034271 BANNISTER, LEA M MD MEMPHIS TN
09735333 1487188827 BARKER, RACHEL P MEMPHIS TN
00633243 1770809105 BARNARD, DANIELLE L MD MEMPHIS TN
02873550 1396006649 BARNES, JESSICA DO MEMPHIS TN
02005094 1760827745 BARNES, MELISSA NP MEMPHIS TN
00871397 1629268933 BARNES, NICOLE S MD MEMPHIS TN
04380789 1720577380 BARNES, ROBERT G II MEMPHIS TN
08429744 1528271574 BARNETT, HEATHER M MD NASHVILLE TN
01383030 1023345675 BARNETT, MARILYN L FNP MEMPHIS TN
03083565 1841558855 BARNETT, ROBERT K MD NASHVILLE TN
00330816 1538606520 BARNHART, MELISSA MD MEMPHIS TN
03333261 1891922324 BARNUM, JESSIE L MD MEMPHIS TN
08684262 1730375007 BARNWELL, ELIZABETH NP MEMPHIS TN
00033269 1851448674 BARON, CHRISTOPHER M MD NASHVILLE TN
01378561 1649596362 BARR, JENNIFER J MEMPHIS TN
Jun 24, 2018 7 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05826713 1679818124 BARRY ELLIS, KATHERINE PA-C MEMPHIS TN
05026254 1366529919 BARTAL, DAVID JASPER TN
07879054 1992973739 BARTOSCH, RACHAEL D FNP MEMPHIS TN
00119320 1225003239 BARTUSCH, SCOTT L MD KNOXVILLE TN
00122315 1750381430 BASCO, EDUARDO V GERMANTOWN TN
00123744 1225020613 BASKIN, REED C BARTLETT TN
00407555 1467986604 BASSETT, JENNIFER MEMPHIS TN
00018774 1558328161 BASTNAGEL, WILLIAM MD MEMPHIS TN
00011630 1043213267 BATES, RICHARD G MD MEMPHIS TN
01959887 1295901247 BATEY, HONOUR M FNP B GERMANTOWN TN
02780371 1134243496 BATTAILE, NAJIBA A MD MEMPHIS TN
06339895 1710122601 BATTINI, RAMAKRISHNA MD GERMANTOWN TN
04822794 1770826869 BATTLE, LAURA A MD GERMANTOWN TN
00116593 1841229218 BAUM, SCOTT L MD GERMANTOWN TN
07605350 1699129668 BAVARSAD SHAHRIPOUR, REZA MEMPHIS TN
00320832 1831157767 BAXTER, FELICIA MD MEMPHIS TN
06638808 1134138761 BAYMILLER, NILOOFAR MD GERMANTOWN TN
07689715 1023541109 BAYOUMI, MAHMOUD MD MEMPHIS TN
08435346 1003890807 BAZZANELLA-MCLEVY, JENNIFER D MEMPHIS TN
00120615 1538160601 BEAN, ALBERT L MD MEMPHIS TN
02883331 1710126941 BEAN, LASONDRA C NP GERMANTOWN TN
00122012 1770550659 BEARD, FRANCES G MD MEMPHIS TN
04380222 1376980045 BEASLEY, ANNA D PA C GERMANTOWN TN
07531379 1285019380 BEASLEY, JAMES C PA MEMPHIS TN
00126940 1881671501 BEATTIE, LISA L MEMPHIS TN
00121243 1255378238 BEATUS, MITCHELL D M.D. MEMPHIS TN
00011188 1457347171 BEATY, JAMES H GERMANTOWN TN
00019898 1215030820 BEAVER, TERINELL MD GERMANTOWN TN
Jun 24, 2018 8 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00011723 1467567875 BECKER, DANIEL J M.D. GERMANTOWN TN
00114085 1265540363 BECKFORD, NEAL S MD MEMPHIS TN
02922374 1023357860 BEDFORD, CYNTHIA D NP GERMANTOWN TN
00123977 1811953607 BEE, TIFFANY K MD MEMPHIS TN
00121679 1528025368 BEEMAN, HELEN G MD MEMPHIS TN
01077235 1437324118 BEHNKE, ERNEST S MD MEMPHIS TN
00118974 1942266713 BEHRMAN, STEPHEN W MEMPHIS TN
09836864 1437532587 BELDA, ANTONIO MEMPHIS TN
01423718 1073529046 BELL JR, IVERSON C MD MEMPHIS TN
07402041 1609300243 BELL, SARAH K MD MEMPHIS TN
04338819 1982950093 BELLAMKONDA, SUSHMA MD MEMPHIS TN
04680325 1477084655 BELLOR-YEH, PEI CHUAN MEMPHIS TN
05709767 1326536210 BENES, VICTORIA G MEMPHIS TN
00453597 1710338488 BENEZRA, DAVID MEMPHIS TN
09489587 1801825781 BENN, SONIA M MD GERMANTOWN TN
05875379 1366651507 BENNETT, GREGORY D MD MEMPHIS TN
07183584 1851362396 BENNETT, JEFFREY A MD MEMPHIS TN
01708778 1629166137 BENNETT, RODERICK N MD MEMPHIS TN
00121637 1922073931 BENOIT, DAVID A KNOXVILLE TN
07728045 1477834604 BENTON, MELISSA Y JASPER TN
05553876 1053632273 BERGER, JENNIFER A MD GERMANTOWN TN
09228552 1598086712 BERGER, JONATHAN R MD MEMPHIS TN
00487798 1427270289 BERGERON, CHRISTIAN B MEMPHIS TN
04058365 1639313208 BERGERON, JACLYN B MD MEMPHIS TN
05521709 1629322607 BERGERON, KERA PA-C MEMPHIS TN
00117201 1497771927 BERKENSTOCK, ORAN L MD MEMPHIS TN
08325732 1285805150 BERNARD, MARYE E NP MEMPHIS TN
06387041 1801116850 BERNELL, MICHAEL J MD MEMPHIS TN
Jun 24, 2018 9 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05004017 1063711596 BERNIER, CAROL A DO MEMPHIS TN
09657064 1285029207 BERNING, BENNETT J MEMPHIS TN
08053831 1316380744 BERRY, DAVIS P MD MEMPHIS TN
07836597 1144338344 BERRY, MICHAEL P MD GERMANTOWN TN
00119358 1760459168 BERTORINI, TULIO E MD CORDOVA TN
07407711 1659375392 BESH, STEPHEN A MD GERMANTOWN TN
05887760 1841677051 BESLER, MARGARET MD MEMPHIS TN
04121016 1811498280 BETHELL, BAILEY J PA MEMPHIS TN
07284545 1194043661 BETTIN, KRISTEN A MD MEMPHIS TN
04521759 1487623484 BEUERLEIN, FRANK J MD KNOXVILLE TN
08074333 1609210632 BEVILACQUA, MICHAEL MEMPHIS TN
00472561 1457649709 BHAKOO, AMIT S MD MEMPHIS TN
03105761 1447506365 BHAKTA, NICKHILL H MD MEMPHIS TN
00856276 1992148431 BHAKTA, SWEETI MD MEMPHIS TN
02605735 1407381445 BHATT, MANAN MEMPHIS TN
08055329 1679763742 BHATTARAI, PARAS M MEMPHIS TN
03304021 1578882007 BHOLE, ROHINI MD MEMPHIS TN
07307862 1083853006 BIENIEK, RADOSLAW F MD MEMPHIS TN
00119960 1144245234 BIERMAN, PAUL S MD MEMPHIS TN
03874241 1053707653 BIGGS, JENNIFER L MEMPHIS TN
06857362 1568670321 BILAL, MUHAMMAD MD MEMPHIS TN
09109776 1780942854 BILBRUCK, TIMOTHY J MD MEMPHIS TN
01107851 1407104946 BILLINGS, TAMMY B NP MEMPHIS TN
06083341 1689613218 BING, PAUL D JASPER TN
08835331 1871933473 BINKLEY, ROBERT C OD MEMPHIS TN
08837283 1083691760 BIRDSELL, KATHERINE E NP MEMPHIS TN
05238091 1306859061 BIRMINGHAM, BARBARA M NP MEMPHIS TN
00133701 1922504554 BISHOP, JOHNATHON D MD MEMPHIS TN
Jun 24, 2018 10 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07277311 1750306858 BISHOP, LAURA J MD MEMPHIS TN
02023509 1003089590 BISHOP, MICHAEL W MD MEMPHIS TN
06101521 1730322041 BISHOP, NATALIE K MD MEMPHIS TN
01421751 1265500888 BISSLER, JOHN J MD MEMPHIS TN
09289276 1669447686 BISWAS, AJIT K MD KNOXVILLE TN
08007867 1013413541 BIVENS, BRIEANNA B MEMPHIS TN
03481750 1558626689 BLACK, ADAM H JASPER TN
00120818 1407812415 BLACK, DENNIS D MEMPHIS TN
08484775 1427492354 BLACK, RYAN MEMPHIS TN
02058558 1972999266 BLACKBURN, PATRICK MEMPHIS TN
00954076 1376623819 BLACKETT, MELROSE I MD MEMPHIS TN
08871763 1558340844 BLAINE, CLINTON J PA-C MEMPHIS TN
03004338 1235482928 BLAIR, CHRISTINE H NP MEMPHIS TN
04978582 1952614570 BLAIR, TONI NP MEMPHIS TN
06478218 1063808749 BLAKENEY, CRAIG MD GERMANTOWN TN
00120593 1912909508 BLAKNEY, ERIC D MD MEMPHIS TN
08826588 1366891830 BLANKENSHIP, EMMITT M MD MEMPHIS TN
06573539 1003088113 BLANKINSHIP JR, JOSEPH P MD MEMPHIS TN
04725721 1922035971 BLATCHFORD, JAMES W MD MEMPHIS TN
05288258 1457371015 BLEVINS, PHILLIP A MD JASPER TN
00124394 1336142520 BOALS JR, JAMES W MEMPHIS TN
06501070 1114920394 BOALS, JENNIFER R MD MEMPHIS TN
02675344 1801187687 BOALS, MICHELLE E NP MEMPHIS TN
07506749 1164660791 BOALS, NINO D MD MEMPHIS TN
05720294 1235558693 BODFORD, JOHN W MD MEMPHIS TN
07604584 1194145078 BOGEMA, CODY C MD MEMPHIS TN
05104886 1598022501 BOGER, LAURA MD MEMPHIS TN
03062155 1356338024 BOGGS, STEVEN D MD MEMPHIS TN
Jun 24, 2018 11 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07535850 1518490986 BOMB, KAVITA MEMPHIS TN
07427591 1376827618 BOND, LATOYA L FNP MEMPHIS TN
01573322 1013404284 BONE, TYLER M MEMPHIS TN
06807778 1437345337 BONETTI, RENEE W MD MEMPHIS TN
00017681 1265416333 BOOM, ALAN D MD MEMPHIS TN
09955361 1841280344 BOOP, FREDERICK A MD MEMPHIS TN
02984571 1548377518 BOOTH, ROBERT D PA MEMPHIS TN
06485032 1336327295 BORKOWSKI, BRIAN J MD GERMANTOWN TN
00125606 1871505438 BORS-KOEFOED, ROY MD MEMPHIS TN
08758083 1942399209 BORSCHEL, DEBAROTI M MD MEMPHIS TN
01288037 1386668929 BOSTON, UMAR S MD MEMPHIS TN
00119087 1679558779 BOSWELL, RICHARD L MD MEMPHIS TN
03035853 1013335728 BOTTA, VANDANA MD MEMPHIS TN
00122810 1467455642 BOULDEN, THOMAS MD MEMPHIS TN
01776566 1023093986 BOURLAND, WENDY H DO MEMPHIS TN
00120522 1548235591 BOUTTE, JAMES N MD KNOXVILLE TN
08404774 1336587641 BOWDEN, DUSTIN V FNP MEMPHIS TN
03123251 1730524216 BOWDEN, MARTHA R MD MEMPHIS TN
09603594 1205031390 BOWMAN, BEN MD GERMANTOWN TN
07685753 1134573777 BOX, AMANDA MEMPHIS TN
09483730 1013159383 BOYETTE, KRISTINA G NP MEMPHIS TN
03921329 1952528770 BRACKNEY, KERRI L MD MEMPHIS TN
06108361 1285028183 BRADD, KIMBERLY C NP MEMPHIS TN
09372264 1205079779 BRADLEY, JAMES R MD MEMPHIS TN
00115258 1124002704 BRADLEY, ROBERT M MD MEMPHIS TN
04939846 1891094272 BRADSHER, ROBERT W MD MEMPHIS TN
06376837 1891936720 BRADY, MARY A FNP GERMANTOWN TN
05277060 1871001685 BRADY, MAYLEN PA GERMANTOWN TN
Jun 24, 2018 12 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116062 1336186980 BRADY, MICHAEL B MD MEMPHIS TN
08488517 1427291368 BRAHMBHATT, RESHMA R MD MEMPHIS TN
09676329 1326025917 BRANDON, LEIGH NP MEMPHIS TN
09750782 1679718357 BRANNICK, BENJAMIN B MD MEMPHIS TN
06587028 1689907206 BRANSCOMB, NICHOLAS T DO MEMPHIS TN
04178252 1609076058 BRATVOLD, JARED M MD MEMPHIS TN
09358358 1255428355 BREAM JR, PETER R MD NASHVILLE TN
06683504 1982760989 BRENNAN, RACHEL C MD MEMPHIS TN
07209705 1164489092 BREWER, SUSAN C MD MEMPHIS TN
04501864 1073803441 BREZINA, DANIEL E MD MEMPHIS TN
08421549 1639408586 BRICENO, MARIO E MD MEMPHIS TN
09905847 1013020874 BRIDGES, JAMES O PA MEMPHIS TN
01773571 1619404415 BRIGHT, MICHAEL MD MEMPHIS TN
01257554 1366856403 BRILEY, DENVER R DO MEMPHIS TN
06772824 1285188490 BRINKLEY, DESIRAE A OD MEMPHIS TN
06959782 1376512434 BRITTAN, ANDREW MD MEMPHIS TN
08406847 1245737964 BROADNAX, ALEXANDRIA L MEMPHIS TN
09208030 1689773020 BROCK, JOHN W MD MEMPHIS TN
02486359 1104855790 BRODIE, LESTER J JASPER TN
00126518 1184627382 BRONISCER, ALBERTO MD MEMPHIS TN
01634002 1386179513 BROOKE, ELIZABETH A MEMPHIS TN
09054098 1215151709 BROOKS, CHRISTIE C MEMPHIS TN
06180764 1265694590 BROOKS, JEFFREY H MEMPHIS TN
04470525 1104893924 BROOKS, LAI D NP MEMPHIS TN
00019716 1174526354 BROOKS, MARIA T MEMPHIS TN
09437271 1801881958 BROUSSARD, HEATH J MD JACKSON TN
07037257 1285875559 BROWN, AMANDA M NP MEMPHIS TN
03526827 1578761011 BROWN, CALVIN C MD MEMPHIS TN
Jun 24, 2018 13 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04770073 1447330873 BROWN, CHESTER W MD, P MEMPHIS TN
07231367 1487944617 BROWN, COREY N DO MEMPHIS TN
09959825 1497204911 BROWN, DEIADRA NP GERMANTOWN TN
00482752 1215956073 BROWN, ERICA MD MEMPHIS TN
03658003 1568676195 BROWN, JEFFREY A DO KNOXVILLE TN
08402765 1003929068 BROWN, JOHN C MD MEMPHIS TN
09808738 1154716306 BROWN, KIMBERLY M MEMPHIS TN
00003868 1457619967 BROWN, MATTHEW T M.D. MEMPHIS TN
01886819 1134135031 BROWN, ROLAND R MD COLLIERVILLE TN
09651264 1720241813 BROWN, SHARI L MD MEMPHIS TN
00305053 1316358690 BROWN, YOLANDA R NP MEMPHIS TN
07950511 1508974700 BRUCE, MARY PA MEMPHIS TN
03288038 1104111442 BRUNO, CHRISTOPHER M MD MEMPHIS TN
04339599 1154836922 BRUNO, CHRISTY DNP CORDOVA TN
00014899 1346257821 BRUNT, CHARLES H MD MEMPHIS TN
07828850 1366899338 BRYAN, ELIZABETH C NP MEMPHIS TN
08029264 1407023294 BRYAN, KAYLA G MD MEMPHIS TN
00675057 1407272198 BRYANT, SHERYL NP GERMANTOWN TN
07239325 1003853664 BUCKLEY JR, MADISON MD MEMPHIS TN
06224090 1770579450 BUCKLEY, SHERRY A APN MEMPHIS TN
00120087 1619970688 BUECHNER, DAVID E MEMPHIS TN
00017638 1023075249 BUGNITZ, MARK C MD MEMPHIS TN
03002050 1235213661 BUNCH, CORY NP MEMPHIS TN
06382305 1215986658 BUNKER, NOAH S MD KNOXVILLE TN
00120076 1578569034 BURBECK, JOY C MD MEMPHIS TN
00124692 1518969468 BURCH, WILLIAM E MEMPHIS TN
08688774 1154592640 BURGHEN, ELIZABETH PNP MEMPHIS TN
09888509 1386090892 BURK, JESSICA MEMPHIS TN
Jun 24, 2018 14 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00506302 1801231451 BURKE, ERIN MD MEMPHIS TN
02102774 1730568650 BURKE, ERIN N PNP MEMPHIS TN
04932807 1043500291 BURKLEY, MEGHAN V MD MEMPHIS TN
08978241 1962751636 BURNS, ERIN L NP GERMANTOWN TN
03377565 1639524945 BURTON, LAUREN V MEMPHIS TN
01730349 1679950679 BUSBY, CHARLIE MEMPHIS TN
06377279 1043742612 BUSBY, KENNETH M III MEMPHIS TN
02070799 1871911321 BUSUITO, BRANDON C MD MEMPHIS TN
04154051 1417121013 BUTAWAN-ALI, DOMINIQUE M MD MEMPHIS TN
06872740 1699209478 BUTRYN, JENNIFER MEMPHIS TN
09905831 1356875991 BUTT, ASRA K MEMPHIS TN
00120532 1013084953 BYRD, KATHRYN W MD MEMPHIS TN
07350362 1326309162 BYRD, KELLY DO MEMPHIS TN
08488550 1598026338 BYRD, KENNETH P MEMPHIS TN
00127254 1639124266 CABIGAO, EDUARDO C MD MEMPHIS TN
00122827 1841275526 CABIGAO, OLIVIA O MD MEMPHIS TN
09453538 1922550888 CALATAYUD, BRANDI M NP MEMPHIS TN
08671850 1811484207 CALDWELL, HUGH R MD MEMPHIS TN
02788259 1326012683 CALHOUN, FRANK B MD JASPER TN
03331861 1619954765 CALHOUN, SUSAN V MD MEMPHIS TN
05172706 1538154117 CALZADA, JORGE MEMPHIS TN
08107505 1356384887 CAMFIELD, ANGELA S MD MEMPHIS TN
01175061 1225200322 CAMPBELL, PATRICK K MD MEMPHIS TN
02559273 1114055845 CAMPFIELD, BRETT A MD COLLIERVILLE TN
00873097 1487677548 CAMPOS-DE-LA-BORBOLLA, LUIS MD MEMPHIS TN
00122642 1033176250 CANADA, ROBERT B MD MEMPHIS TN
00124592 1790788990 CANIZA, MIGUELA A MD MEMPHIS TN
05254852 1376569210 CANNON, DOUGLAS T MD GERMANTOWN TN
Jun 24, 2018 15 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02505256 1649536269 CANNONE, DANIEL S MEMPHIS TN
04222261 1548559693 CAPPS, ANTONIO C MD MEMPHIS TN
05829870 1487701280 CARDIN, DANA B MD NASHVILLE TN
01503861 1316209059 CAREY, STEVEN S MD PH MEMPHIS TN
04557367 1376962902 CARLISLE, ANNETTE MD MEMPHIS TN
06406760 1366679029 CARLSON, TERRI MEMPHIS TN
00532569 1972820769 CARMICHAEL, LEEANN E FNP MEMPHIS TN
07435753 1285052209 CARNER, ERIN N FNP GERMANTOWN TN
05877371 1881126290 CARNEY, BLAISE A MEMPHIS TN
00878268 1417953811 CARNEY, JUDI L MD MEMPHIS TN
04424318 1356544340 CARON, ELENA J MD MEMPHIS TN
03238228 1477916682 CARRERA, ADAM L MEMPHIS TN
07632838 1467774844 CARRILLO MARQUEZ, MARIA A MD MEMPHIS TN
08626834 1720361363 CARROLL, CARMEN T NP JACKSON TN
00117887 1952304925 CARRUTH, PAUL C MEMPHIS TN
02823298 1972023943 CARRUTH, THOMAS NP GERMANTOWN TN
08824061 1083024558 CARTER, APRIL D MD MEMPHIS TN
00017981 1902891179 CARTER, BELVIA MD MEMPHIS TN
01481315 1235525544 CARTER, CYNTHIA M MEMPHIS TN
00120332 1336143239 CARTER, JAMES E MD MEMPHIS TN
08607087 1265428676 CARTER, PETER W MD MEMPHIS TN
09887371 1730411018 CARUTHERS, KARA L PA MEMPHIS TN
01283250 1437492907 CARVER, DAVID C MD MEMPHIS TN
05757791 1205194107 CASAMA, DOROTHY J MD ATOKA TN
04528004 1376892950 CASH, JOSHUA W MEMPHIS TN
06079069 1134531106 CASSIDY, JOHN M MD GERMANTOWN TN
00019463 1114928793 CASTELLAW, MARK A MD GERMANTOWN TN
02688351 1396001913 CATALANI III, BLAS S MD MEMPHIS TN
Jun 24, 2018 16 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00228231 1548202815 CATANESE, MARLENE A MD JASPER TN
00120306 1497847727 CAVENDER, CARY P MD MEMPHIS TN
08980861 1710321211 CEHAJIC, BORIS MD MEMPHIS TN
08923018 1750327607 CHACHANIDZE, VLADIMIR M.D. MEMPHIS TN
07203773 1114140894 CHAI, YAOHUI MD CORDOVA TN
01785026 1184828170 CHAIET, SCOTT R MD MEMPHIS TN
06428293 1386778199 CHAKRAVARTY, ARIJIT MD MEMPHIS TN
07388029 1356699151 CHAMBERS, JAMES MEMPHIS TN
06087281 1376830315 CHAMBERS, MAROLYN M NP GERMANTOWN TN
04687035 1477925071 CHAMPION, SAMANTHA J BARTLETT TN
00125768 1144269994 CHAN, PAUL T DO MEMPHIS TN
02029582 1295778330 CHANDLER, JASON C MD GERMANTOWN TN
07088049 1295169613 CHANDO, MELISSA E NP MEMPHIS TN
03606054 1215198056 CHANG, JASON J MD MEMPHIS TN
03803249 1104184241 CHANG, JONATHAN MD MEMPHIS TN
07737764 1356518237 CHAPMAN, LINDSAY M NP MEMPHIS TN
06303861 1750597829 CHAPPELL, BENJAMIN T MD MEMPHIS TN
00015144 1861495780 CHARLES, STEVE T GERMANTOWN TN
09625552 1407232267 CHAROWSKI, MEGAN R MEMPHIS TN
00689550 1386751618 CHASE, BARTON A RAMOR TN
00019021 1740216514 CHASE, NANCY A MD MEMPHIS TN
08384277 1356632269 CHATHAM, DANIEL N MD MEMPHIS TN
02623549 1922532456 CHATURVEDI, PRIYA D MEMPHIS TN
00320841 1801935812 CHAUDHARI, NIRAV MD MEMPHIS TN
05003572 1770891152 CHAUDHRY, FATIMA S MD MEMPHIS TN
06288761 1154612950 CHEHARDY, SONYA W DO COLLIERVILLE TN
03084749 1295048452 CHELLAPANDIAN, DEEPAKBABU MD MEMPHIS TN
01880002 1861681801 CHEMAITILLY, WASSIM MD MEMPHIS TN
Jun 24, 2018 17 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02776582 1477086999 CHEN, STEPHANIE N MEMPHIS TN
06620074 1609861293 CHERRY, CHRISTOPHER J MD JACKSON TN
01803521 1942706361 CHERUKURI, ANUDEEP MD MEMPHIS TN
00018336 1972550432 CHESNEY, PATRICIA J MD MEMPHIS TN
04189287 1467744607 CHI, MICHELLE MD MEMPHIS TN
07570740 1871933135 CHIANG, CHENG H MD PH MEMPHIS TN
00422575 1487835229 CHILAKALA, SANDEEP MD MEMPHIS TN
03304277 1033128376 CHILDERS, DIANA J MD MEMPHIS TN
00402260 1902876220 CHILDERS, RICHARD MD MEMPHIS TN
01200229 1578538070 CHILDRESS, RICHARD D MD MEMPHIS TN
05671774 1871538983 CHILDS, JOSEPH F KNOXVILLE TN
08856890 1831384221 CHILES, LAUREN F MD KNOXVILLE TN
06504872 1093747651 CHIN, PETER MD NASHVILLE TN
09622041 1902241680 CHINN, ALEX J MD MEMPHIS TN
00339355 1871882803 CHITTICK, AMBER NP GERMANTOWN TN
04756780 1487706230 CHOI, JOHN K MD MEMPHIS TN
06905345 1457626905 CHOLLET, ANNA MD MEMPHIS TN
09550711 1255543153 CHOUDRI, ASIM F MD MEMPHIS TN
00017529 1861594996 CHRISTIAN, AIMEE M MD GERMANTOWN TN
08808564 1831543644 CHRISTIANSEN, MARY E MEMPHIS TN
00553981 1902303720 CHRISTIANSON, KYLE MD MEMPHIS TN
06451229 1275899502 CHUKE, SMRITI MD MEMPHIS TN
08224351 1841602695 CHUMPIA, MASON M MD MEMPHIS TN
05037218 1053741991 CICCOLINI, DANIELA NP MEMPHIS TN
09289229 1336184936 CIEUTAT, EVE G MD MEMPHIS TN
09171072 1114275641 CINA, ANTHONY J MD MEMPHIS TN
05157233 1871892455 CLAASSEN, DAVID A MD PH MEMPHIS TN
09478368 1669985958 CLARK, IAN MD MEMPHIS TN
Jun 24, 2018 18 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03835575 1982652624 CLARK, KAREN PA MEMPHIS TN
08077768 1417445180 CLARK, KATIE L MEMPHIS TN
06207759 1629468533 CLARK, LINDA M NP GERMANTOWN TN
00279031 1942544721 CLAY, MICHAEL R MD MEMPHIS TN
00114902 1760485866 CLEIN, PAUL D MD MEMPHIS TN
01932031 1275577082 CLEMENS, ELIZABETH A JASPER TN
03275835 1043506595 CLEMONS, KENDRA MD MEMPHIS TN
00114517 1114984911 CLEVELAND, KERRY O MD MEMPHIS TN
06529065 1922453703 CLINE, JOSEPH MEMPHIS TN
04733764 1861696221 COBBETT, ETHEL M MD MEMPHIS TN
03532091 1770877821 COCHRAN, STEPHANIE M NP GERMANTOWN TN
07772828 1245203371 COHEN, ALAN J MD MEMPHIS TN
05436563 1346249661 COHEN, AVRAHM MD MEMPHIS TN
08683347 1891912556 COHEN, DAVID B MD MEMPHIS TN
08933794 1205863206 COHEN, HARRIS L MD MEMPHIS TN
05276371 1588736896 COHEN, KIMBERLY J NP GERMANTOWN TN
00728228 1275569055 COHEN, SANDRA W MD CORDOVA TN
03529383 1023161700 COLE, BRENDA S NP GERMANTOWN TN
05579528 1265897789 COLE, JUSTIN PA MEMPHIS TN
00118678 1144223256 COLE, ROBERT J MEMPHIS TN
02107079 1407388267 COLEMAN, CAROLYN A NP MEMPHIS TN
08970883 1922419027 COLLIAS, BELINDA A MEMPHIS TN
09708776 1740214816 COLLINGE, CORY MD NASHVILLE TN
02655811 1952615023 COMEAU, TORI D NP MEMPHIS TN
07051373 1598299646 COMPERE, KHAROLE C MD MEMPHIS TN
00123367 1477512291 CONDON, GREGORY MD MEMPHIS TN
05130357 1851384374 CONE, AMY E RN MEMPHIS TN
03527300 1760902712 CONNER, KATELYN E PMHNP CORDOVA TN
Jun 24, 2018 19 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04585338 1184151490 CONNER, SPENCER MEMPHIS TN
06677561 1962768713 CONTINP, ROBERT W MD MEMPHIS TN
07358380 1275953929 CONWAY, JASON W MD MEMPHIS TN
01078352 1972582120 COOK, JOSEPH A MD MEMPHIS TN
08755244 1568780419 COOLEY, JILL MD MEMPHIS TN
05327557 1477764769 COOLEY, KIRA M MD BARTLETT TN
07202049 1376502120 COOPER, RAYMOND L MD MEMPHIS TN
08033205 1619473345 COPE, SETH R MD MEMPHIS TN
05307728 1245618768 COPELAND, JEFFERY B MEMPHIS TN
01254853 1306133574 COPLEY, CYNTHIA MD MEMPHIS TN
03534377 1588753727 COPPESS, MARK A MD GERMANTOWN TN
09470046 1831423607 COPPOLA, MARIANNA R MD MEMPHIS TN
01084742 1841526001 CORDELL, BETSY A FNP GERMANTOWN TN
04656236 1386198646 CORDERO, EDUARDO M MEMPHIS TN
00116361 1346355963 CORKINS, MARK R MD MEMPHIS TN
06474049 1922493998 CORLEY, JAMES E III MEMPHIS TN
06151840 1306189899 CORNELIUS-WELLS, TAMARYN T NP GERMANTOWN TN
04026236 1417483959 COSTELLO, CLIFFORD D.O. MEMPHIS TN
05306713 1013145440 COTTON, ALYSSA N NP MEMPHIS TN
01576254 1801842570 COTTRELL, BEN E JASPER TN
01273072 1306297841 COUGHLIN, KEVIN C MD MEMPHIS TN
01121260 1649313669 COURSEY, EMILY MD MEMPHIS TN
04109558 1255566352 COURTNEY, RACHAEL A DO MEMPHIS TN
06422548 1336123470 COVINGTON, CHRIS A DO MEMPHIS TN
08556047 1053300335 COVINGTON, JAMIE NP MEMPHIS TN
03851347 1063597979 COWAN III, JAMES L MD MEMPHIS TN
05675061 1013955392 COWLES, STEFAN J MD MEMPHIS TN
06227523 1609069186 COWLEY, DEWIGHT MD MEMPHIS TN
Jun 24, 2018 20 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03072563 1578923371 COX, KRISTIN NP MEMPHIS TN
06627292 1447229083 CRAIG, JAMES P MD KNOXVILLE TN
06236203 1245459403 CRAIG, JOHN M MD MEMPHIS TN
06184774 1801841168 CRAMER, TIMOTHY J MD MEMPHIS TN
07355213 1114244001 CRAVEN JR, DANIEL A MD MEMPHIS TN
08223292 1518301084 CRAWFORD, JENNIFER L MD MEMPHIS TN
00117660 1568406551 CRAWFORD, JOHN D MD COLLIERVILLE TN
06285073 1598007106 CRAWFORD, LACIE W PA-C GERMANTOWN TN
08777852 1225349251 CRAWFORD, SHERITA G FNP GERMANTOWN TN
08053380 1487916813 CRAWLEY, MELISSA A MEMPHIS TN
07086874 1124552526 CREEKMORE, FAITH V MD MEMPHIS TN
01421386 1952396541 CRENSHAW, JAMES MD JACKSON TN
04352807 1538118120 CRENSHAW, LISA M FNP-B GERMANTOWN TN
09684770 1154351278 CRESS, FAWN P FNP MEMPHIS TN
01437810 1588609101 CRISLER, CRISTA MEMPHIS TN
00014408 1760599294 CRISLER, JR., HERMAN A MD MEMPHIS TN
06581523 1043266190 CRISMARU, CIPRIAN MD MEMPHIS TN
00122907 1851357644 CROCE, MARTIN A MD MEMPHIS TN
00126276 1437136124 CROM, MARY D RN MEMPHIS TN
04530824 1487097028 CRONIN, JULIUS M MD SHELBY TN
00123622 1417933276 CROSS THOMAS, CYNTHIA D MEMPHIS TN
05001203 1194921551 CROSS, SARA MD MEMPHIS TN
08605892 1952500373 CROTHERS, ANDREW W MD MEMPHIS TN
06107763 1962481309 CROWE, BRANDI K PA GERMANTOWN TN
07655873 1396989117 CROWE, LINDSEY B NP GERMANTOWN TN
08374325 1285174342 CRUTCHFIELD, CAMERON M FNP GERMANTOWN TN
03270005 1154764660 CUMMINGS, JESSICA R MEMPHIS TN
04289314 1801923776 CUMMINGS, SAMORI O MD NASHVILLE TN
Jun 24, 2018 21 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00013141 1821098690 CUNNINGHAM, DALE P MD GERMANTOWN TN
07989316 1649478371 CUNNINGHAM, LEA C MD MEMPHIS TN
03937385 1568421857 CUNNINGHAM, MELODY J MD MEMPHIS TN
07004775 1649205584 CURTIS, TERRY R MD MEMPHIS TN
09277572 1427580828 DABAL, TRACEY M.D. MEMPHIS TN
09609373 1831517184 DABNEY, ROBIN G NP MEMPHIS TN
09037091 1760823595 DADIREDDY, KALYAN C MD MEMPHIS TN
01959567 1497194864 DAFALLA, AMINA MD BARTLETT TN
07109261 1982961728 DAILY, LAURA R MD GERMANTOWN TN
00124888 1770583239 DALAL, AJAY MEMPHIS TN
04089380 1639370257 DALAL, APURVA R MD GERMANTOWN TN
05628569 1609166016 DALGO, AUSTIN MD MEMPHIS TN
05256768 1144462896 DALSANIA, HENRY J MD GERMANTOWN TN
00019608 1548293079 DALSANIA, JIVAN MD MEMPHIS TN
08723743 1275841595 DAMERA, GODA P MD MEMPHIS TN
00131532 1598261984 DAMIDI, DEEKSHITA MD MEMPHIS TN
09350075 1992908297 DANG, GERALD T MD MEMPHIS TN
03358760 1407884760 DANG, PAUL H MD GERMANTOWN TN
07107067 1285098426 DANIEL, CERIN MEMPHIS TN
08626073 1760560965 DANIEL, ROBERT C DDS MEMPHIS TN
00116764 1033119615 DANLEY, BEVERLY D MD GERMANTOWN TN
06407882 1336352590 DARBY, DINA G NP GERMANTOWN TN
01439530 1164958054 DARDEN, DIJOIA MEMPHIS TN
06934511 1780667188 DARRELL G CROFT DPM GERMANTOWN TN
03687869 1568604502 DAS, KANAK MD MEMPHIS TN
00207292 1528260460 DAS, PRANAB MD MEMPHIS TN
01181334 1992921449 DASARI, ARAVIND MD MEMPHIS TN
08603276 1144544164 DAUGHERTY JR, RAY S MD MEMPHIS TN
Jun 24, 2018 22 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09452765 1104086271 DAUGHERTY, ROBYN D MEMPHIS TN
00115177 1508851510 DAVE, RAJ C MD MEMPHIS TN
04785272 1922048586 DAVENPORT, MARY FNP MEMPHIS TN
07101520 1629506860 DAVID, CHELSEA R PA MEMPHIS TN
00118708 1508869793 DAVIDOFF, ANDREW M MEMPHIS TN
04470251 1598185092 DAVIDSON, AUSTIN MD MEMPHIS TN
00014243 1245280726 DAVIS JR, JESSE T MD GERMANTOWN TN
07835805 1518906387 DAVIS, AMY C PA-C MEMPHIS TN
08808765 1053738336 DAVIS, JONATHAN M MEMPHIS TN
01606893 1588767826 DAVIS, OMAR R MD MEMPHIS TN
00121037 1174526339 DAVIS, RANDALL A MEMPHIS TN
05901297 1841279254 DAWSON, DALE A PAC MEMPHIS TN
09954843 1912290859 DAWSON, KORY R MD NASHVILLE TN
00106096 1396923363 DAYYAT, EHAB A MD MEMPHIS TN
01728335 1053845545 DE VILLA, GONZALO R MD MEMPHIS TN
08457888 1639676398 DEAN, DEREK L DO MEMPHIS TN
09252737 1336415181 DEAN, KENDRA L NP GERMANTOWN TN
00121276 1235110313 DEATON, PAUL R MD MEMPHIS TN
00126679 1043238850 DEBAUN, MICHAEL R MD NASHVILLE TN
02639350 1922329986 DECUYPERE, MICHAEL G MD MEMPHIS TN
03731757 1780672014 DEE, MARIA S MD JACKSON TN
00329061 1205281847 DEEP, AMAN MEMPHIS TN
07828383 1033622832 DEIMUND, SONDRA D NP MEMPHIS TN
07722247 1710411541 DELEEUW, PETER M DO MEMPHIS TN
00681341 1356793319 DELGADO RAMOS, GLENDA M MEMPHIS TN
02435037 1962503391 DELLINGER, JANET W MD GERMANTOWN TN
02353373 1275533580 DELOS SANTOS, NOEL M MD MEMPHIS TN
03485791 1225418668 DELOZIER, OLIVIA M MEMPHIS TN
Jun 24, 2018 23 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09836856 1568653822 DEMPSEY, BUCKLEY K MD GERMANTOWN TN
07780257 1356542609 DENBO, MIRIAH B MD MEMPHIS TN
01131703 1043373038 DENEVE, JEREMIAH L DO MEMPHIS TN
00779029 1457460214 DENN, MARTINE J MD GERMANTOWN TN
04906324 1659696813 DENNEY, JOSHUA A MD NASHVILLE TN
04876828 1003345398 DENNIS, ANGELICA J MEMPHIS TN
09253832 1174768485 DENNIS, SANDRA L NP COVINGTON TN
01073224 1174771349 DENNIS, TIMEKI NP BARTLETT TN
03286755 1972980605 DENTON, ALEXANDER MEMPHIS TN
09652251 1528314093 DEREDDY, NARENDRA R MD MEMPHIS TN
06652802 1043264443 DESAI, NITA S MD MEMPHIS TN
05856545 1326201567 DESOUZA, ROWENA A MD CORDOVA TN
02676540 1619042462 DETTI, LAURA MD MEMPHIS TN
00115399 1083671168 DEVINCENZO, JOHN P MD MEMPHIS TN
01181251 1578593133 DEWANE, JOSEPH C MEMPHIS TN
09151257 1144287863 DHANIREDDY, RAMASUBBAREDDY MD MEMPHIS TN
02975852 1104350925 DHARM CHAND JAIN, AMIT LODHA MEMPHIS TN
05958010 1871792259 DHILLON, ANMOL MD MEMPHIS TN
01183791 1336313170 DIAS PERERA, ANTON S MD MEMPHIS TN
03554721 1962908889 DIAZ, ALEXANDER K MD MEMPHIS TN
00115171 1659371235 DIAZ, CLARO F M.D. GERMANTOWN TN
03177565 1104313485 DIAZ, LEIBERH NOEL MEMPHIS TN
00126095 1093807638 DIAZ-THOMAS, ALICIA M MD MEMPHIS TN
01938016 1336229095 DICK, CHARLOTTE J MD GERMANTOWN TN
08488098 1609096775 DICKSON, PAXTON V MD GERMANTOWN TN
08687765 1902926264 DIDIER, SCOTT D MD GERMANTOWN TN
02306326 1578723276 DILL, DREW S MD COLLIERVILLE TN
03028751 1124227582 DILLON, JOSHUA L MD ATOKA TN
Jun 24, 2018 24 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06328707 1417311036 DILLON, KACIE L MEMPHIS TN
04722240 1609115872 DIN, FARID U MD MEMPHIS TN
00088008 1972592749 DIN, TAMEEZ U MD MEMPHIS TN
08524551 1467446716 DIRGHANGI, BANANI MD MEMPHIS TN
07222339 1316904048 DISHMON, DWIGHT A MD MEMPHIS TN
01729330 1063675692 DITAH, FAUSTA JACKSON TN
07671847 1417190877 DITTA, LAUREN MD MEMPHIS TN
07278732 1083091110 DIXON, FLORENE E MEMPHIS TN
05938841 1972955052 DIXON, TELISHA M NP GERMANTOWN TN
09952852 1427333434 DOBBINS-BRANCH, SHARONDA NP MEMPHIS TN
03088756 1477845451 DOBISH, EMILEE A MD MEMPHIS TN
08606241 1740499417 DOCKERY, NICOLE NP MEMPHIS TN
08275883 1023531506 DOERR, RACHEL C NP GERMANTOWN TN
04224832 1194990218 DOIRON, NICHOLAS P MD KNOXVILLE TN
06477759 1548463078 DOKUN, AYOTUNDE O MD MEMPHIS TN
01001212 1558395665 DOMM, JENNIFER A M.D. NASHVILLE TN
08403201 1710945860 DONATO, ROBERT A MD MEMPHIS TN
00116497 1285682849 DONLON, RICHARD N MD MEMPHIS TN
00122020 1144223306 DONOVAN SR, TIMOTHY B MD MEMPHIS TN
05035251 1073969150 DONOVAN, KEVIN M MEMPHIS TN
02037567 1467696880 DORAI RAJU, ANAND MD MEMPHIS TN
00018916 1336106202 DORKO, CRAIG S MD MEMPHIS TN
06502750 1063487916 DORROH, CHARLES W MD KNOXVILLE TN
03478853 1801054119 DOUBROVIN, MIKHAIL MD MEMPHIS TN
04680851 1679614861 DOUGAN, MAX R MD MEMPHIS TN
05174805 1609853332 DOUGLAS, TRACY L NP MEMPHIS TN
01424225 1073742730 DOWDY, ASHLEY N PA C GERMANTOWN TN
00118057 1043214521 DOWNING, JAMES R MEMPHIS TN
Jun 24, 2018 25 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04257245 1972903565 DRAPER, HEATHER H PAC GERMANTOWN TN
00118527 1053486233 DRAPER, JACQUELINE MD MEMPHIS TN
06088566 1447606454 DRYDEN, STEPHEN MEMPHIS TN
08207303 1447254776 DUBAL, NILESH V MD GERMANTOWN TN
00470045 1679546196 DUBIN, PATRICIA J MD MEMPHIS TN
04587344 1063475192 DUCLOS, MARTIN A MD MEMPHIS TN
02830769 1548793425 DUDLEY, SAMUEL MD MEMPHIS TN
00012725 1699741496 DUGGIRALA, VIJAYA L MD KNOXVILLE TN
00011197 1649220120 DUKE, ROBERT A M.D. MEMPHIS TN
07409296 1477916799 DUNCAN, PARKER P MEMPHIS TN
09528871 1972022192 DUNIVAN, ALLISON N PA MEMPHIS TN
02388561 1285011643 DUONG, VINH Q MEMPHIS TN
09983751 1447255526 DUSENBURY, WENDY L NP MEMPHIS TN
08536865 1164634978 DUTTA, MONISHA MD MEMPHIS TN
00126804 1609856616 DWEIK, HUSNI W MD MEMPHIS TN
07930371 1285991521 DWEIK, WASIF H DO MEMPHIS TN
09874851 1518321025 DYE, ALYSSA M MEMPHIS TN
01870864 1518936061 DYER, MICHAEL L MD KNOXVILLE TN
08372045 1497132120 EADS, RYAN MEMPHIS TN
04285032 1740514728 EARLE, CINDY L FNP MEMPHIS TN
04833251 1417108259 EASLEY, LOREE A PA BARTLETT TN
00119553 1952368003 EASON, JAMES D MEMPHIS TN
03983269 1336672534 EASON, TRAVIS B MEMPHIS TN
02534333 1902249394 EASTERWOOD, CATHERINE C NP MEMPHIS TN
00119993 1326071804 EBERLE III, LOUIS V MD MEMPHIS TN
08259067 1134218639 EBERTS, PAUL T MD KNOXVILLE TN
03627344 1508841370 ECKLAND, KRISTIN L NP MEMPHIS TN
08973585 1396273496 EDMONDS, NIKITA R NP MEMPHIS TN
Jun 24, 2018 26 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02975560 1053808295 EDMONSTON, DRUCILLA MEMPHIS TN
09679225 1053404871 EDWARDS, DAVID F MD JASPER TN
06280337 1952808958 EDWARDS, DENAYA D DO MEMPHIS TN
06733569 1942741889 EDWARDS, LADONNA R NP MEMPHIS TN
03224354 1942687355 EDWARDS, NICOLE L NP GERMANTOWN TN
03757048 1952526261 EDWARDS, NORMA M MD MEMPHIS TN
07871549 1144617044 EDWARDS, PRICE MD MEMPHIS TN
08226015 1700137031 EDWARDS, RHEA E PA MEMPHIS TN
00115435 1639261001 EDWARDS, TODD MD MEMPHIS TN
00652861 1457346041 EGAN, JAMES E MD JACKSON TN
08583561 1649492109 EHRHARDT, MATTHEW J MD MEMPHIS TN
04009235 1720078827 EINHAUS, STEPHANIE L MD MEMPHIS TN
04300772 1164595922 EISEMAN, ROBERT M MD MEMPHIS TN
00116070 1982656484 EISENBERG, ALAN D MD GERMANTOWN TN
01134091 1275775587 EISENHAUER, CHARLES N MD MEMPHIS TN
04577017 1053500470 EL ANDARY, NADA N MD MEMPHIS TN
00970870 1346463130 EL-ABIAD, MOHAMAD T MD MEMPHIS TN
09789310 1689897159 ELAHI, HAFIZ A MD CORDOVA TN
01655235 1225265531 ELAHI, LUBNA S MD GERMANTOWN TN
08958791 1285637462 ELBAHLAWAN, LAMA M MD MEMPHIS TN
09932226 1700129780 ELBALLAT, MOHAMMAD E MEMPHIS TN
00115592 1619910544 ELFERVIG, JOHN L MD MEMPHIS TN
02732016 1750480554 ELIJOVICH, LUCAS MD MEMPHIS TN
01428324 1275748568 ELKINS, BETTY J NP MEMPHIS TN
06336753 1073538823 ELLICHMAN, JONATHAN M.D. MEMPHIS TN
05334260 1598082992 ELLIOTT, DARRELL A MD MEMPHIS TN
08357345 1336145317 ELLIS, GARRETTSON S MD MEMPHIS TN
00112448 1952309312 ELLIS, III, JOHN W COLLIERVILLE TN
Jun 24, 2018 27 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07939043 1750608287 ELLIS, STACY NP GERMANTOWN TN
00281891 1932147774 ELLIS, THOMAS W MD JACKSON TN
03081001 1912068669 ELLISON, DAVID W MD MEMPHIS TN
00122829 1447365846 ELLZEY, JOHN A MD GERMANTOWN TN
07908252 1194954222 ELNAGGAR, ADAM C MD GERMANTOWN TN
01754342 1841507944 ELOCHUKWU, AMARA F MD MEMPHIS TN
04153864 1700197530 EMEREUWAONU, OLUWAYEMISI O MD MEMPHIS TN
00122812 1710980966 EMERSON, DONALD S MD MEMPHIS TN
02052831 1457858987 EMRICH, JESSICA L MD MEMPHIS TN
05955565 1992708002 ENYENIHI, HENRY N MD MEMPHIS TN
06080068 1760670392 ERMIS, AMANDA B NP MEMPHIS TN
00010573 1871592717 ERNST, THOMAS L MD MEMPHIS TN
04277261 1750380051 ESCUE, ASHLEY B MD MEMPHIS TN
00121216 1659372613 ESHUN, JOHN K MEMPHIS TN
04655801 1689111718 ESKEW, CHARITY R NP MEMPHIS TN
00120741 1780609008 ESKIN, MARC S MD MEMPHIS TN
05225595 1699289272 ESSON, REONA M NP MEMPHIS TN
07653847 1598977423 ESTEPP, RYE E MD MEMPHIS TN
04407353 1952823981 ESWARADASS, PRASANNA VENKAT MEMPHIS TN
08103062 1801084439 ETHERIDGE, CYNTHIA NP GERMANTOWN TN
07138741 1669961843 ETIKALA, DEEPA M MD MEMPHIS TN
00126905 1790739027 EUBANKS III, JAMES W M.D. MEMPHIS TN
05833853 1730262114 EULER JR, DONALD S MD MEMPHIS TN
00654052 1275769507 EVANS, AMBER J MD MEMPHIS TN
08088355 1962666420 EVANS, CORY R MD MEMPHIS TN
04674024 1407990740 EVANS, DIANE L DO MEMPHIS TN
00251851 1992056782 EVANS, JENNIFER R JASPER TN
02652056 1427470913 EVANS, MISTY D NP NASHVILLE TN
Jun 24, 2018 28 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00972577 1366732893 EVANS, STACEY L MD MEMPHIS TN
03781300 1497728638 EVERSON, FREDDIE L MD MEMPHIS TN
00121351 1457384588 EZE, GIFT MD GERMANTOWN TN
08334248 1073873972 EZEAMAMA, NKEMKA M D NASHVILLE TN
02957221 1063799583 EZELL, SHARON E NP MEMPHIS TN
04987511 1225340649 EZENWA, NKIRUKA C MD MEMPHIS TN
00682554 1164646535 FABIAN, MATTHEW J MD MEMPHIS TN
00122372 1932165198 FABIAN, TIMOTHY C MD MEMPHIS TN
04609336 1699112607 FAHNHORST, SARAH E MEMPHIS TN
03259503 1124254404 FAIRCLOTH, MICHELE F MD GERMANTOWN TN
04273324 1104359058 FAKHAR, MALIK MEMPHIS TN
04288024 1598717738 FALEYE, OLUGBENGA MD BARTLETT TN
03305330 1316262884 FARACH, SANDRA M MD MEMPHIS TN
08937346 1598089237 FARHADI, RANA V MEMPHIS TN
03152732 1407219769 FARLEY, LOREN E MEMPHIS TN
00653870 1558578666 FARMER, MICHAEL R MD GERMANTOWN TN
09289041 1679623375 FARMER, RICHARD G MEMPHIS TN
03427871 1023398575 FARMER, THERESE MEMPHIS TN
05839060 1780612481 FAROOQ, UMER MD MEMPHIS TN
08780396 1457623258 FARRIS, ALICIA NP MEMPHIS TN
02871241 1801340344 FATHI, FARRAH F PA-C MEMPHIS TN
04579896 1306294327 FAVALORO, KRISTINA M FNP MEMPHIS TN
03526509 1982677167 FELIZ, ALEXANDER MD MEMPHIS TN
04375893 1720472855 FELTS, CHARLES B MEMPHIS TN
00975892 1891995288 FENTON, MOON J MD GERMANTOWN TN
00017197 1770541856 FERGUSON, JOHN M MD MEMPHIS TN
04927778 1619289683 FERGUSON- PAUL, KENICE D MD MEMPHIS TN
05453599 1285659383 FIELDS, KENNETH I MD MEMPHIS TN
Jun 24, 2018 29 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09374726 1841498532 FILETTI, LUSIA C MD COVINGTON TN
07726031 1992004121 FILIBERTO, DINA M MD MEMPHIS TN
04102332 1255835898 FINDLAY, NICOLE MEMPHIS TN
01204081 1295702934 FINE, RICHARD E MD GERMANTOWN TN
01554513 1134171713 FINK, GREGORY W MD GERMANTOWN TN
03507309 1710968318 FINKS, ABRAHAM L MD MEMPHIS TN
03083821 1245729961 FINLEY, JOEL T MEMPHIS TN
00015346 1033192992 FINN, CARY M MD MEMPHIS TN
04888081 1699220905 FIORANELLI, JENNA PA GERMANTOWN TN
00060464 1265422810 FIRESTONE DENTAL GROUP PLLC MEMPHIS TN
04278069 1447478896 FISCHER, PETER E MD MEMPHIS TN
07820719 1912125204 FISHER, KRISTOPHER R MD MEMPHIS TN
00357361 1245619998 FITE, ELIZABETH M MEMPHIS TN
03381341 1942462098 FITZGERALD, STEVEN M JASPER TN
03452512 1780613240 FITZSIMONS, JOHN P MD MEMPHIS TN
07025583 1427098508 FLEENOR, JOHN D MD MEMPHIS TN
00122809 1477510857 FLEMING, JAMES C MD MEMPHIS TN
00125748 1578673836 FLEMING, MARTIN D MD MEMPHIS TN
01723221 1760625578 FLERLAGE, JAMIE MD MEMPHIS TN
02576339 1053603811 FLERLAGE, TIMOTHY T MEMPHIS TN
00171710 1063638104 FLETCHER, DANIEL T MD MEMPHIS TN
00015593 1548211923 FLINN JR, GEORGE S MD GERMANTOWN TN
04634318 1467481796 FLINN, CARL E MD MEMPHIS TN
09589037 1033554589 FLINN, PHILLIP MEMPHIS TN
00012598 1164406245 FLORENDO, NOEL T MEMPHIS TN
00124251 1346295565 FLORES, ANA L MD MEMPHIS TN
03903761 1053637447 FLOWERS, ADOLPH W MD MEMPHIS TN
03651035 1558656264 FLOWERS, ALBERT C MD MEMPHIS TN
Jun 24, 2018 30 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00709203 1912060906 FONG, PETE P MD NASHVILLE TN
08458064 1801813985 FONG, YUEN YEE DO GERMANTOWN TN
06923564 1972642239 FONSECA, JAVIER V MD NASHVILLE TN
05733231 1386064103 FORBES, BRITTANY L NP MEMPHIS TN
01038864 1366897068 FORD, ALLISON R MEMPHIS TN
05083281 1366477135 FORD, SARAH PA-C MEMPHIS TN
00121326 1205836566 FORD, TASHA J MD MEMPHIS TN
01159805 1487814257 FORETIA, DENIS A MD MEMPHIS TN
08088587 1407396328 FORSTER, BRIAN MD MEMPHIS TN
02809818 1104867381 FORTICH, JAIRO A JASPER TN
03580709 1497097547 FOSTER, CHRISTY A MEMPHIS TN
02331058 1306160262 FOSTER, LETOSHIA NP MEMPHIS TN
00506055 1144250077 FOTIADIS, LILLY E JASPER TN
00607052 1013995901 FOUNTAIN, TODD E MD MEMPHIS TN
08180746 1467849661 FOURNIER, MATTHEW N MEMPHIS TN
00770816 1699742205 FOUST, DAPHNE T PAC MEMPHIS TN
05372219 1093987893 FOWLER, BRIAN T MD MEMPHIS TN
05279743 1982658506 FOWLER, JOHN W MD MEMPHIS TN
07178207 1578988291 FOX, EDWARD W JASPER TN
00011787 1972594208 FOX, ROY C MD MEMPHIS TN
07381739 1932217577 FOX, THERESA O MD MEMPHIS TN
02507852 1497014229 FRALEY, CATHERINE C MD MEMPHIS TN
02301210 1679683957 FRANCIS, HUGH MD MEMPHIS TN
01556376 1831576560 FRANCIS, NATALIE D MEMPHIS TN
03609260 1275617375 FRANGOUL, HAYDAR A M.D. NASHVILLE TN
00535760 1881037554 FRANK, CAILIN DO MEMPHIS TN
05127818 1124060157 FRANTZ, MELINDA M MD MEMPHIS TN
07173266 1780756924 FRATTA, AGNES C NP GERMANTOWN TN
Jun 24, 2018 31 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08028303 1144272741 FREEMAN, JAMES C MD JACKSON TN
01534055 1902805823 FREEMAN, JAMES F MEMPHIS TN
01371251 1194270736 FREEMAN, KINCHARSKA N NP MEMPHIS TN
05409823 1689051773 FREEMAN, WHITNEY MSN MEMPHIS TN
03572326 1942707526 FREENEY-WRIGHT, TIFFANY L MEMPHIS TN
06227328 1174765747 FRETT, MICHAEL J MD MEMPHIS TN
07256315 1528451705 FRIEDERS, JILL A PNP MEMPHIS TN
04484350 1659558260 FRIEDMAN, EDWARD S MD MEMPHIS TN
00123551 1700853520 FRIEDMAN-MUSICANTE, ROBIN H MD MEMPHIS TN
00858353 1316909161 FRIGON, K FRANCES MD MEMPHIS TN
00117890 1104867423 FRITZSCHE, JAMES MD MEMPHIS TN
00018746 1295733731 FRIZZELL, NOEL K MD MEMPHIS TN
00958865 1487008850 FRYBERGER, CHARLES T MEMPHIS TN
04256723 1124286687 FU, LIUSONG MD CORDOVA TN
02404355 1619243680 FUCHS, CHRISTIAN J MD MEMPHIS TN
08459507 1972778389 FUERTES, MARIA R MD MEMPHIS TN
03287554 1871980003 FUGATE, BRITTANY M MEMPHIS TN
01178236 1477075323 FUKALA, MONICA L NP GERMANTOWN TN
07428764 1992022040 FULMER, LAUREN MD MEMPHIS TN
04275291 1548209257 FULTON, STEPHEN P MD MEMPHIS TN
00122665 1639145378 FUNDERBURG, WILLIAM R MD KNOXVILLE TN
00121048 1114919370 FUNDERBURK, AMY E MD MEMPHIS TN
00118058 1215930458 FURMAN, WAYNE L MD MEMPHIS TN
06286750 1194171751 FURR, BRYAN MEMPHIS TN
09474571 1720514763 GADALLA, MARY MEMPHIS TN
09804701 1295053767 GADIPARTHI, ANNIE N MD MEMPHIS TN
04325353 1255565131 GADIPARTHI, CHIRANJEEVI MD MEMPHIS TN
00126953 1891772539 GAILLARD, PAMELA A MEMPHIS TN
Jun 24, 2018 32 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05479021 1043285943 GAIRHAN, CHARLES H MD GERMANTOWN TN
00114605 1144223280 GAJJAR, AMAR J MEMPHIS TN
07785764 1710966247 GALASKA, PIOTR N MD MEMPHIS TN
01777561 1972584621 GALDUN, JOHN P MD KNOXVILLE TN
00116094 1568577963 GALLIMORE JR, GEORGE GERMANTOWN TN
00114311 1790785491 GALYEAN, III, JAMES R MD MEMPHIS TN
07227283 1265811590 GAMBLE, ELIZABETH MD MEMPHIS TN
01886761 1912325952 GAMMEL, AMANDA DO MEMPHIS TN
02089709 1427501147 GAMMILL, MICHELLE C PA MEMPHIS TN
02558257 1053670273 GANGU, SHANTAVEER MD MEMPHIS TN
00270856 1205362571 GANNON, EDWIN W III MEMPHIS TN
06574725 1235371204 GANTA, KARTHEEK MD MEMPHIS TN
00120944 1801009089 GARDNER, JAMES E MD MEMPHIS TN
09004838 1184883852 GARDNER, JOHN S MD GERMANTOWN TN
06058051 1063614659 GARDNER, TONIA E MD MEMPHIS TN
05028316 1760594238 GARG, NADISH L MD MEMPHIS TN
00114909 1366557779 GARNER, DEWEY D GERMANTOWN TN
07254774 1619422888 GATEN, KIMBERLY R APRN COVINGTON TN
04075776 1619479821 GATES, KATRINA L ACNP MEMPHIS TN
06637251 1629211750 GATLIN, VICKIE L NP GERMANTOWN TN
05925542 1124021258 GAUR, ADITYA H MD MEMPHIS TN
01226754 1437348968 GAWAD, CHARLES MD MEMPHIS TN
03901217 1104087105 GAYCKEN, BETTINA A MD MEMPHIS TN
07428308 1639281769 GAYDEN, EVELYN W MD MEMPHIS TN
09454835 1851509145 GBULIE, UZOMA MD MEMPHIS TN
08371273 1336673102 GEIER, ROBERT MEMPHIS TN
06250354 1134219280 GEIGER, JANET D MD MEMPHIS TN
00121226 1851394985 GEIGER, TERRENCE T MEMPHIS TN
Jun 24, 2018 33 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00011154 1982662961 GELFAND, MICHAEL S MD MEMPHIS TN
07724254 1902081706 GENG, LILI MD MEMPHIS TN
09355530 1043701097 GENOVA, RAFAELLA MD MEMPHIS TN
08333075 1942664784 GENTILE, ANDREA MEMPHIS TN
00110161 1720196058 GEORGE, DAVID L MD MEMPHIS TN
00007014 1184859993 GEORGE, LEKHA K MD MEMPHIS TN
00016312 1467451385 GETTELFINGER, THOMAS C MEMPHIS TN
01580271 1114037306 GIBSON, IV, DAVID B MD MEMPHIS TN
01301566 1891722559 GIDDENS, GUS A MD MEMPHIS TN
05882208 1952527384 GIEL, DANA W MD GERMANTOWN TN
00120713 1295738680 GIESCHEN, HOLGER L MD GERMANTOWN TN
00674214 1013262617 GILES, FRANSJE NP MEMPHIS TN
03623543 1992949309 GILL, FARRUKH I MD MEMPHIS TN
02674856 1699822833 GILL, MATTHEW C MD MEMPHIS TN
04508289 1780884734 GILL, RAVPREET S MD KNOXVILLE TN
03205278 1255444212 GILLESPIE, MARION B MD GERMANTOWN TN
00632315 1689816886 GILLESS, ELIZABETH H MD GERMANTOWN TN
00207042 1639372535 GILLESS, JERRY P MD MEMPHIS TN
00120442 1437159126 GILMORE, BARRY MEMPHIS TN
07681235 1033615927 GIPSON, ANJELICA Y MD MEMPHIS TN
06439051 1528113602 GIPSON, TANJALA T MD MEMPHIS TN
03404249 1215324363 GIRI, UPAMA MEMPHIS TN
00124210 1205892437 GIVENS, VANESSA MD GERMANTOWN TN
07329276 1790999308 GLAZER, EVAN S MD MEMPHIS TN
02404302 1760669808 GLEASON, JOSEPH M MD MEMPHIS TN
05720002 1003922147 GLENN, MARTHA E MD MEMPHIS TN
03053008 1770876344 GLEYSTEEN, JOHN P MD GERMANTOWN TN
06175879 1659592236 GLOVER, WILLIAM B MD NASHVILLE TN
Jun 24, 2018 34 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04300301 1215982046 GO, JOSEFINA D MD NASHVILLE TN
02688360 1437319316 GODOWN, JUSTIN A NASHVILLE TN
06059554 1275884645 GOEDECKE, REBECCA L NP MEMPHIS TN
05988306 1447560719 GOEL, ARVIND MD CORDOVA TN
07256732 1639463011 GOIFFON, AMANDA MD MEMPHIS TN
03930261 1477925600 GOINGS, BRENDA L NP GERMANTOWN TN
08927815 1275998577 GOINS, NATASHA Y NP GERMANTOWN TN
00016492 1922065259 GOLD, ROBERT E MD MEMPHIS TN
04371059 1518261171 GOLDBERG, JASON F MD MEMPHIS TN
00011890 1669478103 GOLDEN, EMMEL B M.D. MEMPHIS TN
00119845 1154378735 GOLLAMUDI, SUBBA R MD MEMPHIS TN
04122575 1043401086 GONZALEZ, HUMBERTO C MD MEMPHIS TN
00117424 1558305557 GOOCH, JERRY MD MEMPHIS TN
01203728 1205878105 GOODFRED, JENNIFER C DO MEMPHIS TN
07072598 1104041409 GOODIN, GEOFFREY MD MEMPHIS TN
08901031 1710038161 GOODMAN, JACK MD MEMPHIS TN
00259011 1124241062 GOORHA, SALIL MD MEMPHIS TN
01778807 1558367490 GORDON, RICHARD J MD GERMANTOWN TN
00123796 1477551380 GORE, MARGARET MEMPHIS TN
00016746 1710952627 GORLINE, WILLIAM J MD KNOXVILLE TN
02805263 1104047083 GOSAIN, ANKUSH MD MEMPHIS TN
07978856 1134209489 GOTTSCHALK, STEPHEN M MD MEMPHIS TN
00238875 1922395458 GOYAL, NITIN MD MEMPHIS TN
04873854 1730112756 GOYAL, SAMEER K MD MEMPHIS TN
02156052 1831622968 GOYANES, JUAN J MD MEMPHIS TN
04403351 1982846630 GRADOWSKI, JOEL F MD MEMPHIS TN
07576564 1629407473 GRAHAM, COURTNEY E FNP GERMANTOWN TN
05304291 1760508089 GRANT, NATARSHA D MD MEMPHIS TN
Jun 24, 2018 35 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00124584 1770581662 GRAVENOR, DONALD S MD MEMPHIS TN
04657224 1124246954 GRAVES, HOUSTON F MD MEMPHIS TN
06400388 1063925139 GRAVES, STEPHANIE N NP-C MEMPHIS TN
00120691 1124021365 GRAVES, WILLIAM A MEMPHIS TN
08973066 1700141165 GRAY, EMILY T PA MEMPHIS TN
08420759 1679997522 GRAY, EMILY W APN MEMPHIS TN
08134709 1972866374 GRAY, NATHAN C PA MEMPHIS TN
05526055 1124385752 GRAY, NICOLE K JASPER TN
00598948 1679796486 GRAY, RICHARD I MD MEMPHIS TN
03732855 1417487935 GRAYSON, NIKIA D APN MEMPHIS TN
06526356 1497722771 GREBE, TERRY K MD MEMPHIS TN
08989267 1326434465 GREEN, AMANDA M MEMPHIS TN
04439211 1033143714 GREEN, BRIAN A MD MEMPHIS TN
01186037 1407273378 GREEN, CALVIN S DO MEMPHIS TN
08284295 1932105806 GREEN, DANIEL M MD MEMPHIS TN
00126459 1922046200 GREEN, JEFFREY W MD MEMPHIS TN
06323235 1437418159 GREEN, JOSEPH D.O. MEMPHIS TN
01839752 1063673622 GREEN, KATRINA M NASHVILLE TN
04359201 1790909489 GREEN, KELLY D MD JACKSON TN
08654563 1912054875 GREEN, SARA MD MEMPHIS TN
09888758 1790045938 GREEN, SARAH L MD COVINGTON TN
03557821 1265479976 GREENBERG, MICHAEL MD GERMANTOWN TN
00123339 1497860720 GREENBERGER, MARK D MD MEMPHIS TN
09871291 1902873045 GREENE, HEATHER R NP GERMANTOWN TN
06788271 1386922474 GREENE, MELODY J DDS MEMPHIS TN
00787564 1134127665 GREENE, ROBERT W MEMPHIS TN
02102292 1013913474 GREENWELL, THOMAS D MD MEMPHIS TN
03270559 1215065867 GRIFFIN, MONICA B MD MEMPHIS TN
Jun 24, 2018 36 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09474546 1588827109 GRIFFIN, SHANTA L DPM MEMPHIS TN
04403271 1790762433 GROBEN, VALERIE J NP MEMPHIS TN
05188750 1760894976 GROESCHELL, CHARLES M MD MEMPHIS TN
02677372 1700279338 GROVES, DANIELLE M NP GERMANTOWN TN
05735556 1457471567 GRUBER, TANJA A MD MEMPHIS TN
00770703 1497847867 GUBIN, STEVEN S MD GERMANTOWN TN
06885854 1386090520 GUERRA, JUAN M MEMPHIS TN
07738541 1174729735 GUERRANT, RICHARD P MD COVINGTON TN
03236353 1831332626 GUERRIER, KARINE DO MEMPHIS TN
08604793 1225182637 GULLA, SHANNON M MD GERMANTOWN TN
01303031 1952555666 GUPTA, PRATEEK K MD GERMANTOWN TN
03606391 1528485729 GUPTA, SANDEEPKUMAR J MD MEMPHIS TN
00025087 1063491090 GUTT, POONAM L MD GERMANTOWN TN
01685038 1861488561 GUYTON, JAMES L GERMANTOWN TN
05722361 1285632224 HABASHY, HANY M MD MEMPHIS TN
05679328 1972025179 HABKOUK, BRANDON NP GERMANTOWN TN
00019117 1134129638 HACKMAN, BELA B MD GERMANTOWN TN
01557283 1043752793 HADDIX, CAMILLIA DNP MEMPHIS TN
06085261 1801099775 HAJI, SHOWKAT A MD MEMPHIS TN
06526882 1184855686 HAKIM, HANA MD MEMPHIS TN
00126312 1154308898 HALE, KAREN NP MEMPHIS TN
00016530 1043213945 HALFORD, III, HOLLIS H MEMPHIS TN
04438322 1265560684 HALL, ANDREA NP GERMANTOWN TN
00635877 1902031610 HALL, MARSHALL M MD NASHVILLE TN
05527102 1023364254 HALL, MARY BETH FNP MEMPHIS TN
00123709 1457404154 HALL, TERRI L APN GERMANTOWN TN
07759351 1841633187 HALLOCK, JUSTIN D MD MEMPHIS TN
00117107 1750358131 HAMADA, OMAR MD GERMANTOWN TN
Jun 24, 2018 37 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06325751 1639435993 HAMIDIAN JAHROMI, ALIREZA MD MEMPHIS TN
00122510 1699745547 HAMLETT III, JAMES M MEMPHIS TN
07733768 1821330895 HAMM, SHAWN M MD MEMPHIS TN
00681802 1639608391 HAMMER, SARA PA MEMPHIS TN
09471781 1750355038 HAMMOND, DOUGLAS A MD MEMPHIS TN
01972509 1679612212 HAN, AENA MD MEMPHIS TN
09108365 1730387440 HAN, JOAN C MD MEMPHIS TN
04906728 1578566972 HANAHAN, LAURA MD MEMPHIS TN
03080787 1487150645 HANCOCK, JAMES E MEMPHIS TN
03472830 1922462019 HANCOCK, WILLIAM C MEMPHIS TN
01220510 1033115746 HANKINS, JANE S MD MEMPHIS TN
00836773 1992741573 HANNA, DEBRA L MD MEMPHIS TN
09853252 1093715682 HANNA, WILLIAM R MD MEMPHIS TN
00019761 1841293743 HANSEN JR, DALE E MEMPHIS TN
01721276 1912431842 HANSEN, BAILEY MEMPHIS TN
04732221 1801030192 HARARY, SHIMON M MD MEMPHIS TN
00477311 1376963041 HARDY, LATONYA NP GERMANTOWN TN
03221799 1447775408 HARDY, MICHAEL NP GERMANTOWN TN
09289367 1730522053 HARE, FELICIA M.D. MEMPHIS TN
00117059 1225096332 HARE, MARION E MD MEMPHIS TN
00486542 1972042653 HARKNESS, AMY PA MEMPHIS TN
06237384 1972928729 HARLOW, MARY C APN MEMPHIS TN
04286237 1447410378 HARMON, BETHANY J PNP MEMPHIS TN
04429594 1861847840 HARMON, KRISTIN E MEMPHIS TN
01082891 1740512177 HARPER, ERIN PNP MEMPHIS TN
00126311 1417934159 HARPER, JOANN CRNA MEMPHIS TN
07820897 1356545446 HARRELD, JULIE H MD MEMPHIS TN
09350029 1952732182 HARRINGTON, WESLEY M JASPER TN
Jun 24, 2018 38 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02159813 1518014307 HARRIS JR, LEONARD J MD MEMPHIS TN
01374708 1770858144 HARRIS, AARRON J MSN N MEMPHIS TN
09536344 1124034541 HARRIS, AMY K WHNP MEMPHIS TN
01932232 1497283691 HARRIS, DAVID C MEMPHIS TN
09051266 1447478755 HARRIS, FREDERICK R JR. MEMPHIS TN
06407547 1730404377 HARRIS, JEWEL A MD MEMPHIS TN
08085596 1982912614 HARRISON, ASHLEY V NP MEMPHIS TN
05539251 1104056555 HARRISON, RACHEL E MD MEMPHIS TN
00933797 1942461983 HARROLD, LAPRECIOUS L MD MEMPHIS TN
02507295 1003137571 HARSONO, MIMILY MD MEMPHIS TN
08787320 1831560200 HARSTEAD, KATHERYN E NP MEMPHIS TN
01537050 1013967751 HART, VALERIE DO JASPER TN
05557290 1275559924 HARTFORD, CHRISTINE MD MEMPHIS TN
08759060 1619322765 HARVEY, EVAN M MEMPHIS TN
02722063 1396852216 HASEN, HOWARD B MD MEMPHIS TN
04527261 1740779131 HASHIMI, SARAH A MEMPHIS TN
06820842 1578775359 HASKINS, LAURA B MD MEMPHIS TN
06422744 1437534682 HASSOUBA, MAHMOUD MEMPHIS TN
02426811 1174544811 HASTINGS, MARGARET C MD MEMPHIS TN
04036076 1265476790 HASTY, MICHAEL L MD NASHVILLE TN
04772076 1467963611 HATFIELD, ISABELLE L PA MEMPHIS TN
09851777 1710199229 HATLEY, MARK E MD MEMPHIS TN
07755708 1083617971 HAUSMANN, JAMES S MEMPHIS TN
01487537 1902006497 HAWORTH, KELLIE MD FA MEMPHIS TN
03150321 1912954538 HAWS, PALMELLA N JASPER TN
08771730 1245734813 HAWTHORNE, HARRY S III MEMPHIS TN
06320765 1841260700 HAYDEN, JANE E MD MEMPHIS TN
00123101 1992708028 HAYDEN, RANDALL T MEMPHIS TN
Jun 24, 2018 39 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01856357 1497712368 HAYES, BURTON L MD CORDOVA TN
06070721 1558436337 HAYES, DAVID N MD GERMANTOWN TN
04781856 1821402892 HAYES, EMILY A MD MEMPHIS TN
04829393 1841644457 HAYES, KATHLEEN E MEMPHIS TN
00974034 1396295986 HAYES, KRISTEN M NP GERMANTOWN TN
09450309 1821185927 HAYS, STEPHEN R MD NASHVILLE TN
07586333 1114226859 HEAD, TIMOTHY A DO MEMPHIS TN
04426249 1316265390 HEALY, MCKENNA B NASHVILLE TN
09036760 1003205857 HEATH, CHASTITY H NP MEMPHIS TN
05834045 1588779698 HEAVRIN, BENJAMIN S M.D. NASHVILLE TN
04074755 1730523986 HECKLE, KEERTHI G MD MEMPHIS TN
04934571 1497190862 HECKLE, MARK R MD UNION CITY TN
09377260 1093935512 HELLMAN, MICHAEL D COLLIERVILLE TN
01535269 1972792117 HELMICK, RYAN A MD MEMPHIS TN
09923236 1407028574 HELMIG, SARA E MD MEMPHIS TN
00120351 1487657128 HELTON, KATHLEEN J MD MEMPHIS TN
06424001 1285689091 HENDERSON, ELLENA L MD MEMPHIS TN
02553570 1336545664 HENDERSON, ERIC A JASPER TN
05600000 1760452577 HENDERSON, KENDRICK K MD CORDOVA TN
07823768 1174813281 HENDERSON, LAUREN DO MEMPHIS TN
05188531 1659638310 HENDRICK, JENNIFER DO MEMPHIS TN
09171813 1699161950 HENDRICK, LEAH E MEMPHIS TN
07180308 1881855930 HENDRICKSON, BENJAMIN S MD MEMPHIS TN
03230850 1376079376 HENKEL, JANE E MD MEMPHIS TN
03472340 1114314481 HENNING, PETER R MEMPHIS TN
06703775 1174851786 HENRIQUEZ, ANDRES R MD MEMPHIS TN
08935763 1043455561 HENRY, ARTANGELA D NP MEMPHIS TN
02455361 1669823357 HERRERA-MARTINEZ, MIGUEL A MD MEMPHIS TN
Jun 24, 2018 40 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07751241 1568637288 HERRING, LELA S NP MEMPHIS TN
08229533 1164956884 HERRON, LINDSAY D FNP MEMPHIS TN
05584029 1669764692 HERSH, DAVID MEMPHIS TN
00116398 1649270919 HERTZ, AMY L MEMPHIS TN
04927396 1740280924 HESS, PATRICIA B NP MEMPHIS TN
00125691 1275510729 HESS, PAUL G MD MEMPHIS TN
00126830 1164417127 HESSELRODE, MARK A PFNP CORDOVA TN
06778531 1689088338 HESTERBERG, KIRSTIN MEMPHIS TN
00784296 1316054422 HESTON, JERRY D MEMPHIS TN
07625073 1982024220 HESTON, SARAH MD MEMPHIS TN
00154377 1033209606 HICKERSON, WILLIAM L MD MEMPHIS TN
04239291 1225022494 HICKS, ANTHONY M MD MEMPHIS TN
03077301 1942655253 HIDINGER, JENNIFER W MEMPHIS TN
01571852 1235472507 HIGGINS, PATRICK R DO MEMPHIS TN
05337030 1093129827 HIJANO, DIEGO R MD MEMPHIS TN
03300721 1114159514 HIJAZI, BILAL M MD MEMPHIS TN
01154845 1457748501 HILDEBRAND, JON C MEMPHIS TN
01828561 1609395938 HILL, LAUREN S PAC MEMPHIS TN
00110594 1740283910 HILL, PAUL B MD MEMPHIS TN
03078838 1295269660 HILLESHEIM, RICHARD A MEMPHIS TN
05036010 1306863212 HILSENBECK, HOLLY L MD MEMPHIS TN
00115478 1902883481 HIMMELSTEIN, STEVAN I MD MEMPHIS TN
06436375 1033170535 HINDMAN, JASON W MS MEMPHIS TN
02056530 1467624783 HINOTE, CANDACE D MD MEMPHIS TN
04102876 1174032213 HOBBS, MICHAEL D APN MEMPHIS TN
02872501 1215904487 HOCKADAY, EDWARD E MD JACKSON TN
00121290 1457357907 HODGES, JOHN M D GERMANTOWN TN
00110404 1619970506 HODGKISS, LINDA MD MEMPHIS TN
Jun 24, 2018 41 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04828769 1477842086 HODGMAN, ERICA I MEMPHIS TN
01928771 1477510212 HOEHN, MARY E M.D. MEMPHIS TN
00114052 1396751954 HOEHN, ROBERT G MD GERMANTOWN TN
00074891 1730162876 HOELDTKE, NATHAN J MD JACKSON TN
00120286 1477586345 HOFFMANN, EMILY A GERMANTOWN TN
00121890 1861498313 HOFMANN, MARC E MD CORDOVA TN
06776234 1598177784 HOFTO, LAURA R MEMPHIS TN
07971054 1841722261 HOGAN, JARED C MD MEMPHIS TN
01477269 1871955351 HOGUE, SHARON C NP MEMPHIS TN
03378041 1902000698 HOIT, DANIEL A MD MEMPHIS TN
02157856 1720086606 HOLDEN, ANTHONY A MD MEMPHIS TN
03051719 1124028097 HOLDINGHAUSEN, KARMEN M OD MEMPHIS TN
08907863 1558868737 HOLLADAY, CHRISTOPHER W DMD MEMPHIS TN
07638862 1700227196 HOLLAND, ASHLEY NP MEMPHIS TN
00808875 1588843288 HOLLEY, ARIANA C MD KNOXVILLE TN
05189533 1750892444 HOLLEY-HARRISON, HOLLY D NP MEMPHIS TN
04375094 1215379706 HOLLIDAY, KRYSTLE E NP GERMANTOWN TN
00451262 1841716438 HOLLIS, FENISHA D ACWP MEMPHIS TN
07158346 1083986426 HOLLIS, MEGAN P FNP NASHVILLE TN
00985091 1750300760 HOLLOWAY JR, DAVID H MD GERMANTOWN TN
01585873 1942754635 HOLLOWAY, RICHARD D NP MEMPHIS TN
08503293 1083830749 HOLMAN, BENJAMIN C MD MEMPHIS TN
06237736 1134543820 HOLMES, VIRGINIA FNP MEMPHIS TN
02075824 1316367071 HOLT, ANDREW P MEMPHIS TN
00121309 1023018587 HOLTZMAN, LORI R MD MEMPHIS TN
01524070 1114908639 HOMSI, RIAD I MD MEMPHIS TN
08074077 1689101404 HOOD, MARY K MD MEMPHIS TN
06285541 1386932333 HOOD, MICHAEL P MD GERMANTOWN TN
Jun 24, 2018 42 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05403312 1225017445 HOOK, ERROL M ACNP MEMPHIS TN
08187050 1255719373 HOOPER, NICHOLAS A MEMPHIS TN
02938352 1740243054 HOOVER, BRADLEY W MD JASPER TN
05054541 1679969455 HOOVER, MALLORIE L MEMPHIS TN
00116763 1326048877 HOPKINS JR, JACK T MD GERMANTOWN TN
05881203 1891105136 HOPPER, JARAD MD MEMPHIS TN
01357594 1841249703 HORA, SYLVESTER W OD COLLIERVILLE TN
05438334 1487881041 HORN, LEORA MD NASHVILLE TN
03732075 1376658781 HORRAS, RANDY J MD GERMANTOWN TN
04884363 1942452073 HORTON, PETER J MD MEMPHIS TN
05787030 1164830956 HOSSAIN, SUMAIYA MD MEMPHIS TN
09775353 1700148053 HOUSER, KOURTNEY H MD MEMPHIS TN
08253332 1750559233 HOUSER, MOLLY V MD MEMPHIS TN
02788735 1154855401 HOUSTON, BRADLEY C MEMPHIS TN
00110894 1700889433 HOWARD, DAVID A MEMPHIS TN
04535056 1295199719 HOWARD, RAYMOND MEMPHIS TN
02723062 1114459500 HOWARD, SAMANTHA L MD MEMPHIS TN
06309500 1891721445 HOWDEN, COLIN W MD MEMPHIS TN
01936849 1396033031 HOWELL, CYNTHIA D NP MEMPHIS TN
06932243 1356726236 HOYT, AMANDA R CPNP- MEMPHIS TN
03879539 1578635025 HUANG, EUNICE Y MD MEMPHIS TN
09620222 1770683989 HUBBARD, AMY E MD MEMPHIS TN
04136333 1902157571 HUBBART, TARA D NP MEMPHIS TN
00018104 1306994611 HUBBERT, CHARLES H MD MEMPHIS TN
09036305 1215904602 HUBER, AMY A MD MEMPHIS TN
01572371 1104261882 HUBER, DAVID A MD MEMPHIS TN
00284540 1992022800 HUDDLESTON, STEPHEN M MD MEMPHIS TN
03029558 1316966054 HUDSON, ANGELA R NP MEMPHIS TN
Jun 24, 2018 43 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00123456 1669490736 HUDSON, JIM K MD MEMPHIS TN
00118068 1861495889 HUDSON, MELISSA M MEMPHIS TN
08776262 1538305800 HUFFSTATLER, TRACY LYTLE NP MEMPHIS TN
06657772 1861800138 HUFTON, KELLY M NP MEMPHIS TN
00122366 1083732911 HUG, TERESA C NP MEMPHIS TN
07185737 1609988278 HUMPHREY, SALLY S CPNP MEMPHIS TN
01572355 1598841710 HUMPHREY, YVETTE L FNP D MEMPHIS TN
06450701 1295744134 HUMPHREYS, ROBERT A MD GERMANTOWN TN
09832556 1306200878 HUNT, RACHEL M MEMPHIS TN
07833551 1215050406 HUNT, RHONDA L FNP SELMAR TN
03302368 1306166137 HURLEY, CAITLIN E MD MEMPHIS TN
06670812 1356459788 HUSSONG, MARGARET NP MEMPHIS TN
07785031 1679716013 HUYNH, NGA T MD MEMPHIS TN
09201026 1801091434 HWANG, SCOTT N MD MEMPHIS TN
04807257 1841272580 HYLANDER, TONYA M FNP GERMANTOWN TN
07150330 1538523444 HYNDMAN, LAKESHIA N MEMPHIS TN
02528269 1568780153 HYSMITH, NICHOLAS D MD MEMPHIS TN
09028796 1265656672 IBEBUOGO, UZOMA N MD MEMPHIS TN
02130229 1689684839 IFEADIKE, WALTER C MD MEMPHIS TN
05008342 1255728747 IFEDILI, IKECHUKWU A MEMPHIS TN
00017586 1609832849 IGARASHI, MASANORI MD MEMPHIS TN
01207565 1952789430 ILTIS, MARK MEMPHIS TN
03139047 1447696406 IMAM, MOHAMAD MD MEMPHIS TN
06207312 1528004314 IMSEIS, RAED E MD MEMPHIS TN
01302704 1356533046 INABA, HIROTO MD MEMPHIS TN
01481358 1194827089 INFELD, JASON I MD GERMANTOWN TN
02351521 1659417855 INGELMO, CHRISTOPHER P MD GERMANTOWN TN
06673506 1245736487 INMAN, NICHOLAS MEMPHIS TN
Jun 24, 2018 44 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116755 1760488498 IRVINE, WILLIAM MD MEMPHIS TN
02839252 1982998357 IRWIN, ANDREW N MD MEMPHIS TN
04703304 1154827608 IRWIN, CAITLIN DO MEMPHIS TN
09483230 1558717645 ISHFAQ, MUHAMMAD F MEMPHIS TN
00125724 1093772923 ISMAIL, MOHAMMAD K MD CORDOVA TN
00117503 1609832690 ISOM, JOHNATHAN M MD JACKSON TN
01628239 1912430844 ISSEH, NAZIH MEMPHIS TN
01026317 1295785095 ISTANBOULI, WAJIH COLLIERVILLE TN
07851256 1346507076 IVEY, KRISTOPHER MD MEMPHIS TN
09583054 1346507076 IVEY, KRISTOPHER J MEMPHIS TN
09207062 1477934453 IYER, MEDHA R MEMPHIS TN
04085225 1871099416 JABERI, FARNOSH MD MEMPHIS TN
06932072 1649309394 JACK, ROBIN L MD MEMPHIS TN
03256511 1154446532 JACKSON, CHAROLETTE T MD MEMPHIS TN
05577735 1437545662 JACKSON, CHRISTOPHER D MEMPHIS TN
03826362 1790712693 JACKSON, GRETCHEN P MD PH NASHVILLE TN
08178570 1184098956 JACKSON, MIKA T NP MEMPHIS TN
01751779 1407858368 JACKSON, WILLIAM C MD GERMANTOWN TN
05103363 1164653853 JACOB, SAJISH E MD GERMANTOWN TN
01321723 1205026440 JADOL, DELFIN PAC COLLIERVILLE TN
02032723 1255713954 JAGADESAN, BHUVANESHWARI MD MEMPHIS TN
08505554 1649703455 JAGADISH, POOJA S MD MEMPHIS TN
00116301 1003858168 JAIN, MANOJ K MD MEMPHIS TN
03077758 1518387125 JAIN, NIDHI MEMPHIS TN
04657848 1386811891 JALANDONI, KATHLEEN N MD MEMPHIS TN
05230207 1033552492 JAMES, DEIRDRE J M.D. MEMPHIS TN
04859071 1902162597 JAMES, ERIN D MD MEMPHIS TN
06934757 1528420312 JAMES, KATHERINE L PA GERMANTOWN TN
Jun 24, 2018 45 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116056 1508823147 JAMESON, VALERIE P MD MEMPHIS TN
05001805 1821126665 JANCELEWICZ, TIMOTHY MD MEMPHIS TN
03354855 1821121955 JANJUA, MUHAMMAD M MD BARTLETT TN
06384391 1003819269 JANKOV, ALEKSANDAR MD MEMPHIS TN
05136339 1154855054 JANSEN, JOHN M MEMPHIS TN
08501362 1134548258 JASPER, JOHN B MD MEMPHIS TN
01233025 1467793505 JASTER, LAUREL JASPER TN
03238301 1962841957 JAVED, AWAIS MD MEMPHIS TN
08184368 1679708960 JEAN, ROBERT J MD MEMPHIS TN
06828560 1184120651 JEAN-BAPTISTE, ROODLINE MD MEMPHIS TN
05386772 1376785543 JEFFERSON, ADRIAN MD MEMPHIS TN
08674723 1316957921 JEHA, SIMA MD MEMPHIS TN
03109754 1316956246 JENKINS, JUDITH E FNP GERMANTOWN TN
05929724 1679534309 JENKINS, MACK A M.D. NASHVILLE TN
00125401 1851354468 JENKINS, MARTIN B MD CHATTANOOGA TN
07675052 1730436684 JENKINS, MELANIE D FNP GERMANTOWN TN
02959848 1487829347 JERKINS, BRIAN M MD MEMPHIS TN
04875367 1306901012 JERKINS, GERALD R MD MEMPHIS TN
03608234 1972914406 JERKINS, JONATHAN MD MEMPHIS TN
00831360 1861493835 JHA, ASHWINI K MD GERMANTOWN TN
00124374 1639122054 JHA, SUNIL K MD CORDOVA TN
01037383 1467909366 JIANG, DONGXIA I NP MEMPHIS TN
09759094 1831415058 JIANG, YUNNA MD MEMPHIS TN
03054279 1538377791 JING, XI LIN MD MEMPHIS TN
05825754 1528485695 JO-SHI, IRIS DO MEMPHIS TN
00018361 1710974498 JOBE, MARK T MD GERMANTOWN TN
04531527 1518912195 JOFFE, RALF DO BARTLETT TN
07428245 1194775692 JOHN ISAAC MD PC MEMPHIS TN
Jun 24, 2018 46 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08075372 1922441468 JOHN, ELIZABETH MD MEMPHIS TN
00124492 1295753762 JOHNSON JR, JAMES W MD MEMPHIS TN
05284006 1578614160 JOHNSON, BRENT C DDS MEMPHIS TN
08039504 1134404262 JOHNSON, DARREN PA-C NASHVILLE TN
09282045 1164452223 JOHNSON, DARREN L MD MEMPHIS TN
08408507 1548681315 JOHNSON, DAVIN CNM MEMPHIS TN
01279097 1366774382 JOHNSON, EMILY S APN MEMPHIS TN
03284862 1447342811 JOHNSON, ERIC E MD GERMANTOWN TN
04139797 1982870119 JOHNSON, JASON N MD MEMPHIS TN
00079545 1508181090 JOHNSON, KATHERINE H FNP B GERMANTOWN TN
07871701 1205211430 JOHNSON, KATIE L NP MEMPHIS TN
01273364 1649482696 JOHNSON, LIZA-MARIE MD MEMPHIS TN
01526378 1295029601 JOHNSON, MERI M MD NASHVILLE TN
00015569 1245262336 JOHNSON, ROBERT A MD GERMANTOWN TN
04171535 1912131236 JOHNSON, STACY A MD MEMPHIS TN
03774850 1376835488 JOHNSON, TINA G NP MEMPHIS TN
03905542 1396724746 JOHNSTON, STEPHEN E MD MEMPHIS TN
00738565 1013986702 JONES JR, JERRY W MD MEMPHIS TN
06484022 1699119719 JONES, ALLISON V MD MEMPHIS TN
01683760 1083072086 JONES, ANDREA R FNP MEMPHIS TN
05328215 1013122522 JONES, BEVERLY A ACNP MEMPHIS TN
01508594 1376049858 JONES, CALEB W MEMPHIS TN
07436357 1679950570 JONES, CORY MD MEMPHIS TN
01622537 1891923918 JONES, DAVID P MD MEMPHIS TN
03138760 1972827962 JONES, DAVID W MEMPHIS TN
06073552 1962644039 JONES, EMILY H MD MEMPHIS TN
08779361 1689193088 JONES, ERICCA L NP MEMPHIS TN
09773251 1346243383 JONES, HAL DDS CHATTANOOGA TN
Jun 24, 2018 47 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00572878 1538365804 JONES, JAMES S MD MEMPHIS TN
01606570 1659378396 JONES, JARA B MD COLLIERVILLE TN
01436211 1568645232 JONES, JONATHAN E MD MEMPHIS TN
09906537 1699162354 JONES, MARY S MEMPHIS TN
02406351 1023377124 JONES, PETER S MD MEMPHIS TN
03686279 1952630816 JONES, RAMIKA L NP MEMPHIS TN
09189337 1174767339 JONES, ROBBIE S NP GERMANTOWN TN
00126643 1801873559 JONES, SANDRA NP MEMPHIS TN
00120303 1881764801 JORDAN, ANNE M MD MEMPHIS TN
00334251 1114161098 JORDAN, ATIA K MD MEMPHIS TN
00016864 1871594457 JORDAN, RICHARD J MD GERMANTOWN TN
09482021 1558329169 JOSHI, SALIL S MD MEMPHIS TN
09070816 1508822594 JOSHI, VIJAYA MD MEMPHIS TN
00012142 1114901196 JOYNER, ROYCE E MD MEMPHIS TN
00521068 1851825467 JUEL, STEPHEN J M.D. MEMPHIS TN
01237353 1083146518 JUSTICE, JOSHUA MEMPHIS TN
04971340 1639160203 JUSTO, RORY D JASPER TN
03606340 1144231820 KABRA, RAJESH MD MEMPHIS TN
02373039 1932307691 KADARIA, DIPEN MD MEMPHIS TN
09553567 1255538898 KAHN, YOSEF A MD GERMANTOWN TN
04980284 1477001055 KAISER, AMY N NP MEMPHIS TN
09037862 1821586298 KAISER, DAVID L DO MEMPHIS TN
05638362 1972981850 KALBACH, NICHOLAS MD MEMPHIS TN
00121313 1215938287 KALSI, CARLE C MD MEMPHIS TN
01420251 1962766295 KAMASH, TAMARA MD GERMANTOWN TN
04129873 1053666453 KAMEI, AKINOBU MD MEMPHIS TN
04707344 1184990285 KAMENS, JENNIFER L MD MEMPHIS TN
00119303 1366518938 KAMIN, EHUD R MD MEMPHIS TN
Jun 24, 2018 48 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00115016 1154396075 KANAKAMEDALA, BHANU V MD KNOXVILLE TN
02807051 1760435366 KANDALAFT, VICTORIA MD MEMPHIS TN
06623332 1710116801 KANNEGANTI, PRAVEEN C MD MEMPHIS TN
00978867 1811358930 KAO, JOHNATHAN MEMPHIS TN
00539261 1427571850 KAPLON, KRISTEN E PA MEMPHIS TN
02401030 1730685116 KAPOOR, RUBINA MEMPHIS TN
00119716 1346249471 KARKERA, MOHANDAS S MD MEMPHIS TN
02828876 1710225164 KARKI, KANCHAN MD MEMPHIS TN
01374541 1275701229 KARMARKAR, SWATI A MD MEMPHIS TN
00137843 1437311297 KAROL, SETH E MD PHIS TN
06053567 1891826889 KARRI, KAMALA K ACNP- MEMPHIS TN
07608538 1982090270 KARRI, SARADASRI R MEMPHIS TN
03975561 1023371549 KARTER, NICHOLAS S MD MEMPHIS TN
06205266 1972893527 KASIM, NADER R MD MEMPHIS TN
00125789 1639172026 KASTE, SUE C DO MEMPHIS TN
07025767 1457849846 KASTURIARACHI, BRITTANY M MEMPHIS TN
02976740 1750393591 KATZ, JOSHUA A MD MEMPHIS TN
00979592 1821443797 KAUFFMANN, TRAVIS C MEMPHIS TN
07830832 1891724738 KAUFMAN, SETH I MD GERMANTOWN TN
05876841 1710412630 KAUHI, MAGAN D FNP MEMPHIS TN
04574899 1871694877 KAVOUSSI, HAROLD P MD COLLIERVILLE TN
05408895 1033421417 KAWEETA, FNU MD MEMPHIS TN
01279210 1972827756 KAYE, ERICA C MD MEMPHIS TN
00155531 1568996619 KEARNS, SEAN MD MEMPHIS TN
05026840 1578779450 KEDZIERSKI, RAFAL M MD MEMPHIS TN
09339044 1164929071 KEIRSEY, MICHAEL C MEMPHIS TN
00125652 1417966755 KELLEY, BOBBY J M.D. MEMPHIS TN
09674241 1497204960 KELLY, HALLIE R NP MEMPHIS TN
Jun 24, 2018 49 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02109385 1972763704 KEMPE, KELLY K MD MEMPHIS TN
01558343 1467491019 KENNEDY, ANDREW S MD NASHVILLE TN
00113611 1629059712 KENNEDY, LISA MD MEMPHIS TN
03177757 1124369665 KENNEDY, RODNEY D NP MEMPHIS TN
07705541 1154369932 KERLAN, JEFFREY E MD MEMPHIS TN
04171291 1841386182 KERNS, AMY PA MEMPHIS TN
00122924 1093772816 KERR, NATALIE C MD MEMPHIS TN
06477503 1487068342 KERRO, ALI MD MEMPHIS TN
04578013 1578959920 KETRON, SAMANTHA MD MEMPHIS TN
02936816 1548434038 KEY, CHRISLA D NP MEMPHIS TN
05824368 1891109088 KEY, LOGAN A MD MEMPHIS TN
09054767 1023194982 KHALED, YASSER A MD MEMPHIS TN
02901069 1760902936 KHALID, MUHAMMAD B MEMPHIS TN
00907842 1699152801 KHALID, NAEEM MEMPHIS TN
01120802 1134401896 KHAN, ABDUL H MEMPHIS TN
01826037 1487038477 KHAN, BABAR A MEMPHIS TN
00120440 1235181710 KHAN, MOHAMMED B MD MEMPHIS TN
03708057 1861927386 KHAN, MUHAMMAD W MEMPHIS TN
01120818 1679736094 KHAN, MUNEEZA MD MEMPHIS TN
09475249 1386987899 KHAN, NICKALUS MEMPHIS TN
00124534 1366445454 KHAN, RAJA B MD MEMPHIS TN
09722713 1427344720 KHAN, SAMIRA M MD MEMPHIS TN
00119407 1417968314 KHAN, SHAHID I MD MEMPHIS TN
04471887 1689669509 KHAN, SOOFIA MD MEMPHIS TN
00923502 1598161838 KHANNA, PALLAVI MD MEMPHIS TN
04077047 1437656691 KHAWAJA, SALEEM MEMPHIS TN
09624597 1295925840 KHAYAL, SABA MD MEMPHIS TN
07354258 1174962765 KHORCHID, YASSER M MD MEMPHIS TN
Jun 24, 2018 50 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00922049 1841368982 KHOSLA, NITIN MD CORDOVA TN
09050770 1255361986 KHOUZAM, RAMI N MD MEMPHIS TN
05425524 1114304086 KIEFER, ASHLEY C MEMPHIS TN
00935578 1316931272 KIEL, BRIAN DPM MEMPHIS TN
03877565 1407218779 KIENE, ASHLEY M MEMPHIS TN
07788798 1184010308 KIERNAN, CLAIRE MEMPHIS TN
02835354 1326280827 KILE, LINDSEY M JASPER TN
08851845 1003045097 KIM, ELIJAH MD MEMPHIS TN
03676554 1154564086 KIM, SEUNGHYUN MD MEMPHIS TN
03675859 1871886028 KIMURA, DAI MD MEMPHIS TN
09529376 1962845347 KINARD, JACQUELYNN N MD BARTLETT TN
00927206 1275964645 KINDRICK, HEATHER J NP GERMANTOWN TN
00115627 1104936475 KING JR, WILLIAM S MD MEMPHIS TN
01153257 1609027465 KING, ALLISON H NP-C BARTLETT TN
03825533 1659829521 KING, JENNIFER A FNP GERMANTOWN TN
06156321 1376957522 KING, JONATHAN C MD NASHVILLE TN
03936334 1518130996 KING, LAUREN C MD MEMPHIS TN
02806769 1366931867 KINGSBURY, ALEXANDER R MEMPHIS TN
07779268 1528089752 KINK, RUDY MD MEMPHIS TN
05829343 1346253184 KIRBY, MARCIA C WHNP MEMPHIS TN
06989731 1912009994 KIRKLAND, CARLA S MEMPHIS TN
04327764 1396109823 KIRKPATRICK, GRACE E MEMPHIS TN
09628068 1538506936 KISER, ALEXIS MD MEMPHIS TN
05831377 1760680631 KLCO, JEFFERY MD MEMPHIS TN
02637751 1669799797 KLEINMAN, MICHAEL S MD MEMPHIS TN
08259750 1447269659 KLEMIS, JAMES E MD GERMANTOWN TN
09123333 1316115397 KLEPPER, SEAN M MD MEMPHIS TN
07485557 1336127968 KLIMO, PAUL MD MEMPHIS TN
Jun 24, 2018 51 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09204327 1952806143 KNAUS, MARIA MEMPHIS TN
02475055 1104368406 KNIGHT, VENESTER NP MEMPHIS TN
07152787 1922076272 KNOTT-CRAIG, CHRISTOPHER J MD MEMPHIS TN
05576348 1730514191 KNYTYCH, PENNE NP MEMPHIS TN
00450563 1811421787 KOKOSKA, LINDSAY M DO MEMPHIS TN
05673055 1184718017 KOLEYNI, ASGHAR MD MEMPHIS TN
09037266 1649240508 KONERU, PADMAJA MD MEMPHIS TN
07926358 1710034236 KONICEK, ONNA G JASPER TN
08231501 1720364367 KONOFAOS, PETROS MD GERMANTOWN TN
08431855 1558320259 KONOMOS, WILLIAM MD KNOXVILLE TN
01022555 1376546150 KOPLON, MICHAEL D MD MEMPHIS TN
01386770 1487189064 KORDSMEIER, COLTON T MEMPHIS TN
05033561 1124108493 KOSHY, SANTHOSH K MD MEMPHIS TN
03505854 1588906077 KOSTER, SETH JASPER TN
08452266 1801102330 KOTHARI, KHYATI MD MEMPHIS TN
07173761 1013232362 KOTHARI, NIRMIT MD MEMPHIS TN
08985207 1477553022 KOVESDY, CSABA P MD MEMPHIS TN
07088754 1033598248 KOZUSKO, STEVEN MEMPHIS TN
08356885 1750438552 KRAKAUER, MARIA C MD NASHVILLE TN
00122666 1972506046 KRASIN, MATTHEW J MD MEMPHIS TN
00013260 1114918224 KRAUS, ALAN J MD COLLIERVILLE TN
00013261 1225015712 KRAUS, DAVID H MD GERMANTOWN TN
00116122 1619918729 KRAUSS, ANDREW M MD MEMPHIS TN
02307876 1770825283 KRISHNAIAH, BALAJI MEMPHIS TN
00122392 1679500623 KRISHNAMURTHI, LAKSHMI MD MEMPHIS TN
01339332 1225085814 KRISHNAN, CHAYA S MD MEMPHIS TN
06086296 1992732580 KRISHNAN, RAMESH K MD MEMPHIS TN
00381327 1386641520 KRISHNAN, SUNDER MD MEMPHIS TN
Jun 24, 2018 52 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116091 1285749689 KRISLE JR, JOE MD GERMANTOWN TN
00012781 1023181161 KRONENBERG, JOEL I MD MEMPHIS TN
07056735 1275039638 KRUGLOV, ALEKSANDR MEMPHIS TN
02072058 1033437314 KUHN, LYDIA J MD MEMPHIS TN
07373239 1700889649 KULINSKI, ROBERT F MD MEMPHIS TN
07624752 1720057714 KULUBYA, PATRICK S MEMPHIS TN
04650509 1083814040 KUMAR, ANEEL MD MEMPHIS TN
07877084 1932381530 KUMAR, SANJEEV MD MEMPHIS TN
09286534 1922323542 KUMAR, T K S MD MEMPHIS TN
03330077 1265431548 KUMAR, VANDANA MD KNOXVILLE TN
06827808 1205129848 KUNG NELSON, AMY L MD GERMANTOWN TN
00881841 1235525445 KUO, ANGELA MEMPHIS TN
07325079 1376577619 KUPERMAN, AARON B MD MEMPHIS TN
07128253 1962717454 KUSELADASS, JAYALAKSHMI MD MEMPHIS TN
00116788 1710082987 KUTTEH, WILLIAM H MD MEMPHIS TN
05705365 1003170564 KUWABARA, NORIMITSU GERMANTOWN TN
06303306 1407169147 LABADY, MANISE DDS MEMPHIS TN
05300795 1417388893 LABRADOR, BRITTANY A NP MEMPHIS TN
00120144 1366409104 LACHICA, ROBERTO D MD MEMPHIS TN
08584071 1629309463 LACKIE, CATHERINE T FNP MEMPHIS TN
08121779 1710998729 LACY, SUSAN N MD MEMPHIS TN
02279015 1932188349 LADNER, WAYNE J PAC MEMPHIS TN
00328352 1346235082 LAFLEUR, CHRISTOPHER W MD MEMPHIS TN
02637867 1700231289 LAFLORA, LOUISE P MEMPHIS TN
02586290 1932488095 LAHOTI, AMIT MD MEMPHIS TN
00121376 1154389294 LAKIN, KAREN L MD MEMPHIS TN
05932552 1184913022 LAM, BRIAN PA MEMPHIS TN
00113067 1306887187 LAMOTHE, MARGARITA MD MEMPHIS TN
Jun 24, 2018 53 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01174321 1902303605 LAMPKIN, MADISON C MD MEMPHIS TN
01836316 1285683490 LAMPTEY, AUBREY MD MEMPHIS TN
02551551 1588641526 LAN, ZHIQIANG D MD GERMANTOWN TN
04300361 1144312562 LANCASTER, LISA H MD NASHVILLE TN
00010933 1760415756 LAND, MACK A MD MEMPHIS TN
00111884 1619942547 LANDAU, REED S MD KNOXVILLE TN
00121622 1528029618 LANDY, STEPHEN H MEMPHIS TN
07522728 1417913674 LANE, CATHY S APN MEMPHIS TN
09278752 1194956474 LANFRANCO MOLINA, JULIO ALBERTO MD MEMPHIS TN
00008824 1063476992 LANGFORD, JOSEPH S MD JASPER TN
02232839 1992758080 LANGHAM JR, MAX R MD MEMPHIS TN
00123933 1396701413 LANGSDON, PHILLIP R MD MEMPHIS TN
00112458 1407888472 LANKFORD, WILLIAM A MD GERMANTOWN TN
04006834 1811955644 LARKIN, JOHN K MD COVINGTON TN
03826064 1972980928 LARSON, STEPHEN MEMPHIS TN
02708363 1710484233 LASSITER, ANNA E MD MEMPHIS TN
00017679 1609879584 LASTER JR, ROBERT E MD GERMANTOWN TN
09479313 1144295072 LASTER, ANGELA J MD KNOXVILLE TN
08703072 1679653075 LAUCIRICA, RODOLFO MD MEMPHIS TN
06053378 1679653075 LAUCIRICA, RODOLFO MD MEMPHIS TN
06286331 1356338040 LAVELLE, DAVID G MD GERMANTOWN TN
01254711 1205131240 LAVOIE, PAUL T PA MEMPHIS TN
06973027 1265658629 LAW, PETER H MD MEMPHIS TN
00123625 1902838964 LAWSON, RONALD D GERMANTOWN TN
00013830 1679530687 LAZAR, LINDA F MD MEMPHIS TN
00013524 1841378403 LAZAR, RANDE H MD MEMPHIS TN
00111544 1205801149 LAZAROV, STUART J MD GERMANTOWN TN
00115189 1376559468 LEAL, JORGE MD MEMPHIS TN
Jun 24, 2018 54 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09103561 1235509480 LEASURE, SHARON T NP MEMPHIS TN
09305255 1649562570 LEBLOND, LAWRENCE MD MEMPHIS TN
07150821 1730380304 LEDBETTER, CHRISTOPHER K MD MEMPHIS TN
00121333 1407813439 LEDOUX, MARK S MD MEMPHIS TN
02178020 1558659078 LEE DIAZ, JORGE A MD MEMPHIS TN
04705327 1063918340 LEE, DANIELLE MEMPHIS TN
00123463 1073616504 LEE, JEA Y MD MEMPHIS TN
07252571 1922398353 LEE, JENNIFER A MD MEMPHIS TN
05357343 1316485667 LEE, KATHRYN PA GERMANTOWN TN
06359861 1497781298 LEE, KENT A MD COLLIERVILLE TN
00771301 1619260825 LEE, MARC MD MEMPHIS TN
03786874 1063949725 LEGG, STEPHEN G M.D. MEMPHIS TN
08001064 1467530618 LEICHT, LESLIE B MD MEMPHIS TN
00019764 1407859382 LEMMI, MICHAEL A MEMPHIS TN
06782078 1366740375 LEMON, LINDA F NP MEMPHIS TN
04505092 1306213228 LENNON, EMILY S PA GERMANTOWN TN
01182728 1649248477 LENTS, RUSSELL MD JACKSON TN
06039311 1356399109 LERCH, VICTOR MD MEMPHIS TN
04306508 1154576684 LEVENTAKI, VASILIKI MD MEMPHIS TN
08027370 1053394155 LEVIDANCONA, ROBERTO MD MEMPHIS TN
06233809 1124218482 LEVINE, DEENA R MD MEMPHIS TN
09753801 1619136165 LEVINE, YEHOSHUA C MD MEMPHIS TN
00095908 1518923242 LEW, DUKHEE B MD MEMPHIS TN
03888505 1821382367 LEWIS JR, RICHARD H MD MEMPHIS TN
04858814 1164490991 LEWIS, CHRISTOPHER L MD JACKSON TN
00116597 1720193105 LEWIS, ERROL MD GERMANTOWN TN
05435273 1811903255 LEWIS, FLORENCE C MD MEMPHIS TN
02226269 1871081398 LEWIS, JUSTIN W MD MEMPHIS TN
Jun 24, 2018 55 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02629257 1477737526 LEWIS, VANESSA P PA MEMPHIS TN
08382329 1023216975 LEWIS, ZACHARY T MD KNOXVILLE TN
04085770 1386687150 LI, BO MD MEMPHIS TN
06272838 1518911684 LI, SHERRI X MD GERMANTOWN TN
09402841 1851824940 LI, YONGCHAO MD MEMPHIS TN
04287865 1982066379 LIAO, CAIYUN MEMPHIS TN
07186366 1225534316 LIBBY, ROBERT S MEMPHIS TN
00014261 1871518985 LIEBERMAN, GERALD J MD MEMPHIS TN
06275241 1407877004 LIEBERMAN, JAY A MD MEMPHIS TN
05171754 1902998321 LIGHT, RICHARD W MD NASHVILLE TN
00123297 1881646099 LIGHT, WILLIAM H MD GERMANTOWN TN
00123865 1710944160 LIKES, WENDY M MEMPHIS TN
02477737 1124552690 LILES, JENNY E MD MEMPHIS TN
09707042 1689171688 LILLARD, JOCK C MEMPHIS TN
01352566 1629176573 LIND, CHRISTOPHER D MD NASHVILLE TN
00115605 1174599864 LINDSAY, HERBERT L KNOXVILLE TN
07307253 1437418829 LINDSEY, SEAN R MD MEMPHIS TN
00017046 1720003155 LING, FRANK W MD GERMANTOWN TN
00116302 1902853393 LINN, JOHN E MD MEMPHIS TN
00117168 1164537551 LIPMAN, CRAIG L MD GERMANTOWN TN
00116300 1881651685 LIPSCOMB, GARY H MD MEMPHIS TN
05624779 1134412794 LISNER, MORGAN M MD MEMPHIS TN
05939322 1013442185 LITTLETON, LUCAS C DO MEMPHIS TN
00120462 1629078324 LITZOW, JAMES T MD MEMPHIS TN
00121031 1497721179 LIVESAY, CHRISTOPHER H MD KNOXVILLE TN
00126640 1972507796 LIVINGSTON, LEON O MD MEMPHIS TN
03789544 1538383021 LOBBINS, MONICA L DO MEMPHIS TN
08809555 1457788606 LOCKE, LINDSEY N MEMPHIS TN
Jun 24, 2018 56 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06686250 1972959211 LOCKLEAR, COLE G MEMPHIS TN
03976228 1427254879 LOFT, BRENDA C CNM MEMPHIS TN
00124586 1114927969 LOFTON, WILLIAM B MD JACKSON TN
02384050 1770996787 LOGUE, CATHY T NP GERMANTOWN TN
00122348 1467453720 LOISEAU, JEAN C MD MEMPHIS TN
04707779 1215063417 LOMBARD, AIMEE R JASPER TN
06823292 1316281991 LONDON, CARLA NP MEMPHIS TN
01077332 1346683059 LONERGAN, TIMOTHY M.D. MEMPHIS TN
08178561 1801269451 LONG, LESLIE J APN MEMPHIS TN
00017526 1982712006 LONG, THOMAS E MD MEMPHIS TN
01285535 1063649200 LONG, VICKIE D DNP CORDOVA TN
09777257 1609876176 LONGJOHN, MINDY MD MEMPHIS TN
08383055 1508005570 LOPEZ-CALDERON, LESLIE E MD MEMPHIS TN
09226819 1629399779 LORD, KITO A MD MEMPHIS TN
07052396 1952512659 LOTT, JOHN B DDS MEMPHIS TN
03604380 1669569778 LOVVORN III, HAROLD N MD NASHVILLE TN
09401771 1508127630 LOWDER, JEFFREY C MD MEMPHIS TN
06326519 1902127269 LUCAS JR, JOHN T MD MEMPHIS TN
08908201 1487611000 LUCE, EDWARD A MD MEMPHIS TN
08406256 1740643972 LUM, GARY B MEMPHIS TN
09408059 1043653454 LUM, JENNIFER L MD MEMPHIS TN
00116257 1417920273 LUNSFORD, KEVIN M MD MEMPHIS TN
08208335 1447474986 LUTTRELL, MARK MEMPHIS TN
04387576 1427599034 LYDIGSEN, HOLLY L DNP MEMPHIS TN
09277765 1669709630 LYLE, REBECCA NP GERMANTOWN TN
02573550 1366472144 LYN-BOSWELL, CARLA G MD CORDOVA TN
00117302 1891741799 LYNN, RONALD B MD MEMPHIS TN
00121340 1063491280 MABIE, MATTHEW W MD MEMPHIS TN
Jun 24, 2018 57 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05373705 1619136306 MABON, TARA Y NP MEMPHIS TN
00121150 1861458416 MACDONALD, CHARLES B MD MEMPHIS TN
00116591 1801901293 MACHIN, JAMES E MD GERMANTOWN TN
08075259 1366485179 MACNAUGHTON, JON M MD MEMPHIS TN
01725369 1407925472 MADARATY, KAMEL MD BARTLETT TN
00126355 1538160536 MADASU, RAVI K MD MEMPHIS TN
02750818 1902883754 MADDEN, RENEE M MD MEMPHIS TN
07238763 1033397880 MADEA, MEGHAN M CNM MEMPHIS TN
08470507 1164413928 MADISON, MICHAEL L MD MEMPHIS TN
00375057 1083902894 MADNI, ARSHIA MD MEMPHIS TN
01676712 1164450904 MAGEE, MICHAEL J MD GERMANTOWN TN
02222304 1326004128 MAGNOTTI, LOUIS J MD MEMPHIS TN
01606340 1174590251 MAHAJAN, NATASHA C MD JACKSON TN
04628565 1457715161 MAHMOUD, MAHMOUD MEMPHIS TN
02224034 1043276843 MAISH III, GEORGE O MD MEMPHIS TN
04937732 1437161221 MALDONADO, FABIEN MD NASHVILLE TN
05079060 1306872155 MALIAKKAL, BENEDICT J MD MEMPHIS TN
00851239 1225341050 MALIK, MUBASHER E MD MEMPHIS TN
08386237 1851550057 MALKAN, ALPIN D MEMPHIS TN
00601253 1477660306 MALKOFF, MARC D MD MEMPHIS TN
08450816 1972882207 MALLER, VINOD G MD MEMPHIS TN
02334855 1295093128 MALLISHO, MARAM MD GERMANTOWN TN
09171251 1073983540 MALONE, CHRISTINA M APN MEMPHIS TN
07289791 1194710160 MALONE, PATRICK MD MEMPHIS TN
05459714 1497949218 MAMCARZ, EWELINA K MD MEMPHIS TN
00118044 1972584571 MANCELL, JIMMIE MD MEMPHIS TN
06409751 1245698190 MANCUSO, STEPHEN PNP MEMPHIS TN
02071764 1609230788 MANGHAM, WILLIAM M MEMPHIS TN
Jun 24, 2018 58 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00688331 1982993432 MANGUM, DAVID S MD MEMPHIS TN
08459864 1790712099 MANN, ELIZABETH K GERMANTOWN TN
00124232 1831144013 MANNAN, GHALIB MD MEMPHIS TN
01835762 1497243885 MANOLUKAS, THEODORE MEMPHIS TN
07630714 1720077589 MANSOUR, NAWAR E MD MEMPHIS TN
06923371 1518226372 MARCHASE, NICHOLAS MD MEMPHIS TN
02833527 1760915771 MARELLA, HEMNISHIL K D.O. MEMPHIS TN
09122542 1477877454 MARGOLIS, ELISA B MD MEMPHIS TN
08833567 1528005006 MARI, GIANCARLO MD MEMPHIS TN
05733868 1114995909 MARIENCHECK, WILLIAM I MD JACKSON TN
01681274 1083604060 MARION, ASHLEY G FNP MEMPHIS TN
06879096 1609165760 MARLAR, JUSTIN L MD COLLIERVILLE TN
08538078 1568995728 MARLEY, KRISTEN MD MEMPHIS TN
05209248 1871082925 MAROIS, ANTHONY J MEMPHIS TN
02624595 1952667503 MARSH, KIMBERLY A MD MEMPHIS TN
05336053 1285676999 MARSHALL, JOHN W MD BARTLETT TN
04427351 1508301276 MARTIN, EMILY R CPNP- MEMPHIS TN
06183235 1346659505 MARTIN, JAMEE PA MEMPHIS TN
02209015 1588671085 MARTIN, MICHAEL G MD GERMANTOWN TN
00111446 1326005927 MARTIN, RODNEY A MD MEMPHIS TN
03081741 1184935447 MARTINEAU, DAVID L DO MEMPHIS TN
02528356 1306885520 MARTINEZ, ANTONIO M MD MEMPHIS TN
02806264 1194916882 MARTINEZ, JESUS F MD MEMPHIS TN
02503345 1396784419 MARTINEZ, MARWIN J JASPER TN
00120088 1427045111 MARTINEZ, SANTOS F GERMANTOWN TN
05553776 1144754516 MARTINEZ, STEPHANIE C MEMPHIS TN
01431360 1942740014 MARX, NICHOLAS W NP MEMPHIS TN
09657739 1750300273 MASHBURN, CYNTHIA M FNP BARTLETT TN
Jun 24, 2018 59 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01736869 1730567850 MASILLAMONI, STEPHEN R MEMPHIS TN
04629758 1740692136 MASON, KRISTY L FNP GERMANTOWN TN
00021093 1467509349 MASON, WILLIAM J MD MEMPHIS TN
04722061 1548510761 MASSEY, CARA Y NP MEMPHIS TN
08776760 1598180812 MASTERS, HELEN R FNP MEMPHIS TN
02837343 1477905545 MATHESON, LINCOLN S MD MEMPHIS TN
07927394 1295199073 MATHEW, MATT MEMPHIS TN
00533261 1154405272 MATHEW, PUTHENPURACKAL M M.D. NASHVILLE TN
00087009 1184617367 MATHEWS, DENNIS E OD MEMPHIS TN
00124778 1104824838 MATHIS, CHRISTOPHER L MD MEMPHIS TN
07286262 1194183137 MATHIS, GWENDOLYN NP MEMPHIS TN
05037803 1245488576 MATHIS, VICTORIA S DDS MEMPHIS TN
03036392 1245650803 MATTHEWS, ASHLEY MD MEMPHIS TN
08451345 1558781492 MATTOX, ANTHONY R DO MEMPHIS TN
00780051 1689925455 MATTOX, SARAH R PA C GERMANTOWN TN
04478389 1457849713 MATURANA GONZALEZ, MIGUEL A MEMPHIS TN
05408516 1205153863 MAURITSON, AMY E MD GERMANTOWN TN
09425538 1215251764 MAX, ANITA M NP MEMPHIS TN
06603899 1801171129 MAXWELL, ABIGAEL MD MEMPHIS TN
09320751 1598184574 MAXWELL, LEANN AGPCN GERMANTOWN TN
02586862 1013463223 MAY, ASHLEY B APRN MEMPHIS TN
00126364 1679550347 MAY, MARTHA V FNP MEMPHIS TN
06575325 1528382199 MAY, WILLIAM B MD MEMPHIS TN
07428318 1689126286 MAYS, DEBORAH L FNP GERMANTOWN TN
00126304 1215930094 MAYS, OWITA R MD COLLIERVILLE TN
07927390 1780917443 MAYS, TRACEY L NP GERMANTOWN TN
09151521 1396921623 MAZUMDER, SHIRIN A MD CORDOVA TN
00152545 1881071264 MCAMIS, MICHELE M MEMPHIS TN
Jun 24, 2018 60 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02758573 1497115463 MCCAIN-LEE, YOLANDA L NP MEMPHIS TN
05107503 1982895363 MCCALL, TINA L FNP HENDERSON TN
00833003 1124255161 MCCARNEY, SEAN D MD MEMPHIS TN
00503501 1144225590 MCCARTHY, CLARE L MD MEMPHIS TN
00120184 1114920907 MCCARVILLE, MARY E MEMPHIS TN
00111499 1194984559 MCCAY, FRAN A NP GERMANTOWN TN
03775011 1356796684 MCCLATCHY, SAMUEL G MEMPHIS TN
01288331 1023247566 MCCLINTON III, ERNEST J MD MEMPHIS TN
05552369 1598105231 MCCLYMONT, ALDENE A DO MEMPHIS TN
00436064 1104099258 MCCOY, ELISHA S MD MEMPHIS TN
08886867 1841684636 MCCOY, MIA P NP MEMPHIS TN
08225812 1437574902 MCCOY, RACHEL N PNP MEMPHIS TN
06929364 1912318049 MCCULLAR, BRENNAN P MD MEMPHIS TN
00121412 1902809783 MCCULLERS, JONATHAN A MD MEMPHIS TN
09478568 1811348519 MCCURDY, ASHLEY V APRN MEMPHIS TN
00115800 1144330424 MCDANIEL, CARTER E MD MEMPHIS TN
09235053 1245694751 MCDANIEL, CHRISTOPHER M MEMPHIS TN
00486746 1609304286 MCDANIEL, KAITLIN M PA GERMANTOWN TN
01522869 1144532276 MCDONALD, JR, JAY P MD MEMPHIS TN
00117170 1609876036 MCDONALD, MICHAEL B MD GERMANTOWN TN
00270573 1730686643 MCEWEN, MATTHEW W MEMPHIS TN
08003000 1821595737 MCEWEN, MOLLY K MEMPHIS TN
00017877 1720187040 MCGEE, JESSE E MD MEMPHIS TN
07421066 1093191751 MCGHEE, QUEEN E NP MEMPHIS TN
03503036 1356732341 MCGHEE, VIRGINIA E WHNP GERMANTOWN TN
04753511 1710902440 MCGOWAN, LESLIE MD MEMPHIS TN
01354219 1790742609 MCGREGOR, AMY L MD MEMPHIS TN
06283092 1689679912 MCGREGOR, DAVID K MD MEMPHIS TN
Jun 24, 2018 61 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09909380 1922190396 MCGREW III, FRANK A MD GERMANTOWN TN
00130331 1760441760 MCGUCKIN JR, JAMES F MD MEMPHIS TN
07055834 1073047247 MCGUFFEY, CHARLES D MD MEMPHIS TN
08425789 1073061420 MCIVOR, CARRIE PNP MEMPHIS TN
03059807 1891967360 MCKEE, MEREDITH H FNP GERMANTOWN TN
06132213 1821307349 MCKIERNON, CARRIE E NP GERMANTOWN TN
00010604 1063527455 MCLEOD, ALAN J MD GERMANTOWN TN
00118461 1487761151 MCLEOD, MARILYN MD MEMPHIS TN
01951746 1396747259 MCMILLAN, DAVID MD MEMPHIS TN
07787067 1316437213 MCMILLAN, JACOB MEMPHIS TN
05180847 1639565930 MCMURRAY, STACY L MEMPHIS TN
00087053 1215977871 MCQUIRTER, HENRY G OD MEMPHIS TN
07302368 1760775381 MECHE, KATHERINE M MD MEMPHIS TN
00530566 1447563770 MEDHANE, YARED M MD MEMPHIS TN
05580279 1942632096 MEEKS, JONATHAN D JASPER TN
05328708 1629055397 MEEKS, MICHELLE R RN MEMPHIS TN
02381330 1285131011 MEENAN, CHELSEA K MEMPHIS TN
06924575 1225008014 MEHTA, RAGINI B MD MEMPHIS TN
07550517 1437312725 MELHEM, ARAFAT MD MEMPHIS TN
03188711 1730444001 MELTON, MIRANDA FNP MEMPHIS TN
07055866 1588849707 MEMON, HAFSA U MD MEMPHIS TN
03950855 1255770400 MENDEZ, ILEANA MD MEMPHIS TN
00933872 1144330291 MENZIES, BARBARA E MD MEMPHIS TN
00118062 1518960392 MERCHANT, THOMAS E DO MEMPHIS TN
08402009 1952606055 MEREDITH, NICOLE T NP MEMPHIS TN
06322345 1275066904 MERKLE, ERIC J MD MEMPHIS TN
08876231 1134469935 MERLOCCO, ANTHONY C MD MEMPHIS TN
00018239 1770559460 MERRITT, LAUREN N MD KNOXVILLE TN
Jun 24, 2018 62 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06183733 1922398361 MERRY, SHAYLA T M.D. MEMPHIS TN
08805238 1609373547 MERTENS, CHRISTOPHER R MD MEMPHIS TN
01925877 1861784993 MESLEH SHAYEB, AKRAM MD MEMPHIS TN
03971042 1952308389 MESTEMACHER, CHRISTINE S GERMANTOWN TN
09652249 1013914662 METZGER, MONIKA MD MEMPHIS TN
06274344 1669808051 MEWBORN, EMILY K DNP COLLIERVILLE TN
00116171 1720045230 MEYER, NORMAN MD MEMPHIS TN
03636241 1467418186 MICHAEL, CHRISTIE F MD MEMPHIS TN
00121961 1710915061 MICHAEL, RONALD C MD MEMPHIS TN
02778071 1629422910 MICHALIK, LAYNA PNP MEMPHIS TN
07103320 1407389091 MICHALOPULOS, MADELINE M MEMPHIS TN
06685369 1154827939 MIDDEN, JOHN T MEMPHIS TN
04601392 1578983805 MILLER, AMANDA MD MEMPHIS TN
05576507 1023244357 MILLER, AMIE MEMPHIS TN
02685564 1568671246 MILLER, ANGELA H WHNP GERMANTOWN TN
01156773 1790169886 MILLER, CASEY PNP MEMPHIS TN
00689599 1891931069 MILLER, GARNETT NP MEMPHIS TN
00015617 1265429765 MILLER, III, ROBERT H MD GERMANTOWN TN
01923812 1952740953 MILLER, JESSICA JACKSON TN
01426768 1215307863 MILLER, LADAWN PA MEMPHIS TN
00204755 1063693893 MILLER, LAURIE A APN MEMPHIS TN
04002244 1215461876 MILLER, LUKE MEMPHIS TN
05751718 1043697840 MILLER, NATHAN A MEMPHIS TN
00305530 1912403312 MILLER, NOAH R DO MEMPHIS TN
09703064 1194714014 MILLER, RODRIC L DDS MEMPHIS TN
07527556 1558696591 MILLER, STEPHEN F MEMPHIS TN
05481725 1407195159 MILLER, TINA R NP BARTLETT TN
07757271 1306894860 MILLIGAN, CORBI D MD MEMPHIS TN
Jun 24, 2018 63 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00123536 1780776765 MILLIGAN, KERRY L MD GERMANTOWN TN
01436891 1740228022 MILLS, MARK R MD MEMPHIS TN
04122375 1255679270 MILNER, AMANDA R NP GERMANTOWN TN
00110575 1427014695 MINARD, GAYLE MD MEMPHIS TN
00122500 1053303750 MINHAS, SOHAIL A MEMPHIS TN
09338293 1295981702 MINNIEAR, TIMOTHY D MD MEMPHIS TN
06288249 1215991435 MINOR, SARAH K DO MEMPHIS TN
00018731 1043232580 MINTZ, PHILIP G MD MEMPHIS TN
09151796 1225476849 MIRANDA, CYNTHIA MD MEMPHIS TN
08088538 1033149232 MIRZA, ABBAS MD BARTLETT TN
00786817 1669591012 MIRZA, ARIF K MD GERMANTOWN TN
02089052 1679599922 MIRZA, IMRAN MEMPHIS TN
00122249 1528003050 MIRZA, MASHHUD M MD MEMPHIS TN
00379702 1114184645 MIRZA, QASIM M MD MEMPHIS TN
05327779 1942262829 MISHRA, ASHUTOSH K MD MEMPHIS TN
01375356 1760914162 MITCHELL, JARED A MD MEMPHIS TN
06656038 1720514003 MITCHELL, MALLORY A M.D. MEMPHIS TN
07678709 1164955761 MITCHELL, MATTHEW MEMPHIS TN
07603071 1487187233 MITCHELL, RACHEL MEMPHIS TN
02904039 1518193796 MITCHELL, WILLIAM D PA MEMPHIS TN
00126413 1689603102 MITTAL, SANJEEV K MD CORDOVA TN
00155778 1881695997 MIXON, JOSEPH MD MEMPHIS TN
00016793 1801908918 MIZE, ANNA E MD MEMPHIS TN
09008371 1164867644 MOAK, JOSEPH S III MEMPHIS TN
00976052 1366671224 MOAZAZI, MATHILDE MD MEMPHIS TN
03725706 1780021519 MOCZULA, ANDREW JASPER TN
05230741 1073514022 MOHAN, KAMAL MD MEMPHIS TN
05989028 1942201710 MOHAN, VEENA S MD MEMPHIS TN
Jun 24, 2018 64 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00686351 1386639789 MOINESTER, DAVID MD BARTLET TN
00120451 1225138423 MOKHTARI, SUSAN MD MEMPHIS TN
01925737 1861929531 MOLLOY, PAUL MEMPHIS TN
04905518 1104299304 MOLNAR, MIKLOS Z MD MEMPHIS TN
02901301 1477763365 MONAGHAN, MICAH T MD GERMANTOWN TN
06078589 1760592935 MONROE, JUSTIN MD MEMPHIS TN
08581012 1376519066 MOOLCHANDANI, GEETA R MD KNOXVILLE TN
00126916 1447226147 MOOLCHANDANI, RAJENDRA MD KNOXVILLE TN
08627249 1386030914 MOONEY, MELISSA A MEMPHIS TN
08978233 1225471246 MOORE, ALLEN R M.D. MEMPHIS TN
08027250 1013304054 MOORE, KENNETH A MEMPHIS TN
06252878 1669564845 MOORE, TRACIE L DNP MEMPHIS TN
03722765 1619409208 MOQUIN, DAVID J MEMPHIS TN
09174222 1568752558 MORA, MARIA C MD MEMPHIS TN
08130022 1013901222 MORAFA, OLAWALE A MD MEMPHIS TN
03008748 1215315320 MORALES, MELEAH A MEMPHIS TN
05424721 1164808028 MORGAN, CHRISTINA G NP MEMPHIS TN
07283383 1083064364 MORGAN, JESSICA CPNP- MEMPHIS TN
07638271 1205151776 MORGAN, KYLE J MD MEMPHIS TN
00251561 1982796397 MORGAN, WALTER M MD NASHVILLE TN
09123301 1285121855 MORRIS, JOSHUA M MD MEMPHIS TN
00120094 1508971995 MORRIS, STEPHEN D MD GERMANTOWN TN
00112906 1922065184 MORRIS, WILLIAM R MD MEMPHIS TN
04003817 1437573482 MORRISON, ALLISON B FNP MEMPHIS TN
09509810 1154388031 MORRISON, ROBERT E MD MEMPHIS TN
03203837 1093827560 MORRISON, ROBIN L CFNP MEMPHIS TN
07278376 1750376737 MORRISON, RONALD R MD MEMPHIS TN
05000208 1477656536 MORROW, JENNIFER S MD GERMANTOWN TN
Jun 24, 2018 65 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06425705 1902993025 MORROW, STEPHEN E MD NASHVILLE TN
05931007 1043576697 MORSE, KRISTY MEMPHIS TN
00172365 1851670608 MORSY, MOHAMED S MD MEMPHIS TN
06139596 1578559605 MOSBY, LINDA NP MEMPHIS TN
00126245 1548227143 MOSES, LINDA F MD MEMPHIS TN
08750701 1053817668 MOSHER, ZACHARY A MEMPHIS TN
00574005 1538657457 MOSHREF, ABTEEN R MEMPHIS TN
00126954 1689640385 MOSKOP, ROBERT J MD KNOXVILLE TN
00017093 1487648630 MOSKOVITZ, RANDALL J MD MEMPHIS TN
05106371 1952644197 MOSSINGER, LINDSAY E MD MEMPHIS TN
00124262 1528019098 MOTLEY, ANN-MARIE MD MEMPHIS TN
00095984 1184625071 MOTLEY, SR, THOMAS E MD MEMPHIS TN
00124145 1184675332 MOTLEY, TODD S MD MEMPHIS TN
08323062 1891059929 MOURYA, RAJESH MEMPHIS TN
00013334 1679684500 MOUSTAFA, SALWA MEMPHIS TN
01655863 1841788247 MOYEN, SARIHA I MD MEMPHIS TN
00633750 1861629172 MROCZKOWSKI, HENRY J MD, P MEMPHIS TN
00731261 1003043043 MUDDASSIR, KHAWAJA M MD MEMPHIS TN
00534501 1528278223 MUDIGOUDAR, BASANAGOUD MD MEMPHIS TN
00338762 1528565736 MUENYI, CLARISSE S MEMPHIS TN
08500056 1083603641 MUHLBAUER, MICHAEL S MD MEMPHIS TN
08905354 1063630093 MUHLERT, MICHAEL K MD MEMPHIS TN
04673844 1235591371 MUKIT, MUNTAZIM MEMPHIS TN
07839071 1255680625 MUKKADA, SHEENA T MD MEMPHIS TN
04838075 1376076570 MULHERN, KAYLN C MEMPHIS TN
09059737 1275682965 MULLENIX, JASON B MD MEMPHIS TN
01305861 1972551364 MULLINAX, WILLIAM G MD MEMPHIS TN
09726375 1689628323 MULLINIX, DEREK R MD BARTLETT TN
Jun 24, 2018 66 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00115373 1558365205 MULLINS, BRENT A MD MEMPHIS TN
01787226 1417248923 MULLINS, JOHN DO MEMPHIS TN
06858212 1316023328 MULROONEY, DANIEL A MD MEMPHIS TN
09020727 1841209277 MULROY, JANET F ACNP MEMPHIS TN
09223855 1710019930 MUNDAY, MICHAEL D DO MEMPHIS TN
07508886 1558870014 MUNGLE, MOLLY NP MEMPHIS TN
01374582 1093938573 MURILLO, LUIS C MD MEMPHIS TN
09707059 1215131792 MURPHY, ANDREW J MD MEMPHIS TN
06483031 1881127884 MURPHY, ANN E MEMPHIS TN
01135851 1184157125 MURPHY, AUSTIN B MD MEMPHIS TN
00116435 1952398646 MURPHY, GARNETT A GERMANTOWN TN
09683834 1235648692 MURPHY, LAURYN L PA MEMPHIS TN
06734258 1689844714 MURPHY, SANDRA NP MEMPHIS TN
02988092 1427301522 MURRAY, MEREDITH B NP GERMANTOWN TN
08022826 1831439793 MURRAY, TOREY DO MEMPHIS TN
01950591 1730474222 MUSA, SARRA M MD MEMPHIS TN
04580524 1366763435 MUSE, KATOSHA A MD MEMPHIS TN
00123471 1619924339 MUSICANTE, SERGIO A MD MEMPHIS TN
06985351 1225492572 MUSSARAT, NAIHA MEMPHIS TN
07536259 1083875066 MUTRIE, LAUREN MD MEMPHIS TN
00116052 1053377127 MYERS, LINDA K MD MEMPHIS TN
08284217 1093735458 MYERS, RICHARD K MEMPHIS TN
00731091 1578014262 MYERS, SARA C NP GERMANTOWN TN
04623739 1548477722 MYERS-WEBB, ADRIANNE L MD MEMPHIS TN
00055091 1538137914 NACE, GARY S MD MEMPHIS TN
07938250 1386925634 NADA, ARWA A MD MEMPHIS TN
01900020 1467688044 NAIK, RONAK J MD MEMPHIS TN
07227592 1700822384 NAIR, SATHEESH MD MEMPHIS TN
Jun 24, 2018 67 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07953070 1558626077 NAJIB, KHALID MEMPHIS TN
05858242 1720474265 NAKATA, JENA MEMPHIS TN
04673271 1750701975 NARAYANAN, MOHAN MEMPHIS TN
09873064 1053379149 NASEER, ADNAN MD MEMPHIS TN
05584554 1801103643 NASIR, SYED S MD GERMANTOWN TN
06650081 1942253992 NATARAJAN, MONIKA L MD MEMPHIS TN
00123843 1730132788 NATARAJAN, SHIVA S MD GERMANTOWN TN
04159852 1326213919 NATERA, ALEJANDRO MD MEMPHIS TN
00115966 1205941606 NAUERT, TIMOTHY C MD GERMANTOWN TN
00016884 1720011455 NAWAF, KAYS MD MEMPHIS TN
05586065 1598054652 NAZARIO, JANICE M MD GERMANTOWN TN
02625032 1396039707 NAZARY, KELLY FNP GERMANTOWN TN
09388039 1073807970 NEARING, KATHERINE MD MEMPHIS TN
02003708 1679579072 NEBLETT, PAUL D MEMPHIS TN
00114625 1720081847 NEEL, MICHAEL D MD MEMPHIS TN
03686234 1528292471 NEELY II, JOHN C MD MEMPHIS TN
07686057 1366896334 NEIL, ASHTON N MEMPHIS TN
02125068 1952338758 NELL, JAMES E MD BARTLETT TN
08983217 1154732295 NELSON, CLAY G MD MEMPHIS TN
02335802 1053721050 NELSON, GRACE B MD MEMPHIS TN
05134292 1134539075 NELSON, JEFFREY S M.D. MEMPHIS TN
03130728 1982877973 NELSON, JOHN S MD MEMPHIS TN
02626295 1043477136 NELSON, MICHAEL A MD GERMANTOWN TN
09204728 1932342714 NELSON, STEPHANIE NP MEMPHIS TN
01623353 1184157356 NELSON-OWENS, SARA MEMPHIS TN
05671842 1376972026 NENON, REBECCA S ACNP MEMPHIS TN
04185837 1336285246 NESBITT, KIMBERLY K MD MEMPHIS TN
01203791 1215928544 NEUFELD, ELLIS J MD PH MEMPHIS TN
Jun 24, 2018 68 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00122882 1326004177 NEZAKATGOO, NOSRATOLLAH MD MEMPHIS TN
05972730 1598058075 NGUYEN, JENNIFER MD MEMPHIS TN
04277371 1407388010 NGUYEN, NGAN DO MEMPHIS TN
01057831 1912394438 NGUYEN, VINCENT N MEMPHIS TN
02088209 1578502076 NICHOLS, JAMES W MD MEMPHIS TN
00333854 1831106038 NICHOLS, KIM E MD MEMPHIS TN
09575703 1770749202 NICHOLS, SANDRA W NP MEMPHIS TN
02450872 1184042897 NICHOLS, STEPHEN J JASPER TN
00709751 1285834630 NICKELE, CHRISTOPHER MD MEMPHIS TN
03150796 1598733552 NIETO JR., JOE MD MEMPHIS TN
06328004 1598999849 NIKBAKHT, STEPHANIE NP MEMPHIS TN
02728518 1598760845 NKADI, CHUKWUEMEKE O MD MEMPHIS TN
05727096 1235335118 NOBAR, SHIVA A MD MEMPHIS TN
05186203 1265695878 NORLANDER, LISA M MD MEMPHIS TN
00121080 1548360753 NORMAN, JOHNITA K MD MEMPHIS TN
01777033 1891114955 NORRIS, KALEY L DO MEMPHIS TN
08859508 1356656029 NORWOOD, CHAKA C OD MEMPHIS TN
00113862 1114984069 NORWOOD, JOHN M MD MEMPHIS TN
04205894 1275598781 NOWAK, KRISTIE MD MEMPHIS TN
03120041 1093921090 NWOKOLO, CHIBUZO E MD JACKSON TN
03654763 1972721413 NYENWE, EBENEZER A MD MEMPHIS TN
00011760 1336124973 O'BRIEN JR, THOMAS F MD MEMPHIS TN
01756767 1720295660 O'DELL, JENNIFER P ANP MEMPHIS TN
07705750 1578939583 O'DONNELL, DANIEL APN MEMPHIS TN
02850721 1457302465 O'DONNELL, THOMAS J MD MEMPHIS TN
08822073 1114314069 O'HANLON, MONICA A MEMPHIS TN
00113790 1548268592 OBAJI, SUHAIL M MD GERMANTOWN TN
01201523 1962402982 OCONNOR, TIMOTHY MD MEMPHIS TN
Jun 24, 2018 69 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04886553 1235662651 ODDO, ANTHONY R MEMPHIS TN
02128588 1639387178 ODULANA, ADEBOWALE MD MEMPHIS TN
01209001 1194032706 OGBEIDE, EGUNMWENDIA MD MEMPHIS TN
05205364 1952375156 OGBEIDE, OSARENREN MD GERMANTOWN TN
09628550 1649275058 OGNIBENE, FRANK A DPM GERMANTOWN TN
04137542 1104185487 OKAFOR, IRENE N DO MEMPHIS TN
01605551 1386009165 OKOTH, MARTIN R PA MEMPHIS TN
08728277 1801830849 OKPOR, KENNETH A MD MEMPHIS TN
02873593 1194773762 OKTAEI, HOOMAN MD MEMPHIS TN
05087733 1104893239 OLERU, ALERUCHI Y MD JACKSON TN
02370851 1841268299 OLERU, CHIMA O MD JACKSON TN
03886259 1932543550 OLINGER, ANDREW S MD MEMPHIS TN
04276544 1417342536 OLINGER, CATHERINE R MEMPHIS TN
04028854 1568487304 OLIVER, LEMUEL D MD MEMPHIS TN
05180704 1649258062 OMALLEY, MICHAEL MD MEMPHIS TN
04026851 1356318059 OMER, IMAD MD MEMPHIS TN
00283060 1124128996 ONDER, ALI M MD MEMPHIS TN
06772767 1588875694 ONDER, SONGUL MD MEMPHIS TN
08558361 1942487251 ONYEAGOCHA, CHUKWUMA O MD MEMPHIS TN
00115965 1639272164 OPTICAN, ROBERT J MD GERMANTOWN TN
02389349 1174573992 ORCUTT, MARSHA J MD MEMPHIS TN
04928096 1790983542 ORR, BRENT A MD MEMPHIS TN
09775871 1194022533 ORTIZ, ERIN E NP GERMANTOWN TN
08106510 1831181247 OSAROGIAGBON, RAYMOND U MD MEMPHIS TN
05275297 1346218070 OSAYAMEN, MICHAEL O MD JACKSON TN
07359566 1629568845 OSICK, NICHOLAS R DO MEMPHIS TN
04553861 1588862445 OST, SHELLEY R MD CORDOVA TN
01450858 1497828552 OSWAKS, ROY M MD GERMANTOWN TN
Jun 24, 2018 70 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00326058 1740634054 OSWALD, THOMAS J MEMPHIS TN
03020560 1508088162 OTTEN, DANIEL E MD GERMANTOWN TN
01673061 1023472743 OUMA, KEVIN MEMPHIS TN
03108811 1003146630 OVERBEY, BARBARA A APN MEMPHIS TN
00121908 1194726679 OVERBY, STEVEN T MD GERMANTOWN TN
00017353 1609859776 OWEN, EDMOND W MD MEMPHIS TN
06773044 1801321716 OWEN, EUNBIT G MEMPHIS TN
00115928 1588779987 OWEN, VIRGINIA S MD GERMANTOWN TN
08780520 1043743594 OWEN, WESLEY MEMPHIS TN
09253551 1144420118 OWENS, AARON M COLUMBIA TN
00119969 1134173024 OWENS, CURTIS L MD MEMPHIS TN
09379053 1578788535 OWENS, MARY B MD MEMPHIS TN
04702733 1285766709 OYLER, AMY MD MEMPHIS TN
06656846 1093970022 PABOLU, SANGEETHA MD MEMHIS TN
00107765 1487141420 PACE, STEPHEN R JR MEMPHIS TN
00111789 1275588899 PAGLIARULO, TONY R MD MEMPHIS TN
00115463 1386643435 PAIDIPALLI, BABU R MD MEMPHIS TN
02175048 1437171295 PAIS, RAY C KNOXVILLE TN
07209063 1720433667 PALCHINSKY, JILL C MEMPHIS TN
00126935 1083643845 PALLERA, ARNEL M MD GERMANTOWN TN
00122384 1972562254 PALMIERI, ANA K MD COLLIERVILLE TN
00684362 1932339876 PANDEY, MANJARI MD GERMANTOWN TN
00115350 1780690230 PANG, JIM MD CORDOVA TN
00110055 1003821752 PAPPO, ALBERTO S MD MEMPHIS TN
05059290 1205147105 PARASHAR, NIRBHAY MD MEMPHIS TN
01002274 1871764738 PAREKH, SUSHMA C MD GERMANTOWN TN
02088260 1932606894 PARIKH, KARA MEMPHIS TN
05950826 1477556942 PARIKH, SALIL P M.D. MEMPHIS TN
Jun 24, 2018 71 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02503043 1174968838 PARK, CATHERINE Y MD MEMPHIS TN
03637576 1639600174 PARKER, DAVID MEMPHIS TN
04130353 1629211131 PARKER, SARAH E NASHVILLE TN
09155321 1306342605 PARKERSON, SARAH MEMPHIS TN
02258361 1568951226 PARKINSON, MELISSA MEMPHIS TN
06130509 1790926798 PARKS, CHRISTY R NP MEMPHIS TN
01109321 1679006555 PARSONS, CHASE C MD MEMPHIS TN
00121837 1831204239 PARTHASARATHY, RANGANATHAN MD GERMANTOWN TN
00018852 1740247485 PARVEY, LOUIS S M.D. MEMPHIS TN
03252844 1316471071 PASVANTIS, CHRIS G MEMPHIS TN
07552813 1295862837 PATAY, ZOLTAN MD MEMPHIS TN
02070707 1619940509 PATCHEN, JAY MD MEMPHIS TN
01804218 1972939023 PATE, PATRICIA M NP GERMANTOWN TN
07655507 1316208093 PATEL, AMIT B MD MEMPHIS TN
03283354 1811371891 PATEL, CHANDNI J NP GERMANTOWN TN
09653057 1003097593 PATEL, MEHUL B MD GERMANTOWN TN
00124135 1780687426 PATEL, NEHALI D MD MEMPHIS TN
00122764 1356317838 PATEL, PHALGUN J MD KNOXVILLE TN
08687551 1235572686 PATEL, PRATIK D MD CORDOVA TN
00821720 1689162414 PATEL, PUJA MEMPHIS TN
06201866 1558706788 PATEL, RIDDHI P MD MEMPHIS TN
07657289 1770961211 PATEL, RUCHI DO MEMPHIS TN
09524519 1528393667 PATEL, SHEETAL MD MEMPHIS TN
08985766 1154526218 PATEL, SHWETA V MD MEMPHIS TN
07724809 1649493123 PATEL, TEJESH MD MEMPHIS TN
07625222 1518463256 PATEL, VIBHUTI MD MEMPHIS TN
06377526 1417922675 PATEL, VIKRAM P MD MEMPHIS TN
00016666 1275566713 PATIL, MAHADEV R MD MEMPHIS TN
Jun 24, 2018 72 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00282586 1497713267 PATIL, SADANAND I MD MEMPHIS TN
05188525 1922393172 PATILLO JONES, LATASHA MEMPHIS TN
00121113 1962402388 PATON, ELIZABETH A MEMPHIS TN
04976831 1922495878 PATRICK, BRETT M MEMPHIS TN
01025542 1447222880 PATTANAIK, DEBENDRA N MD MEMPHIS TN
00012500 1457352106 PATTERSON III, JAMES O MD MEMPHIS TN
07537251 1629369475 PATTERSON, AMY L MD MEMPHIS TN
00015662 1730147877 PATTERSON, ANTHONY L MD MEMPHIS TN
05573376 1871029892 PATTISAPU, NAVEEN MD MEMPHIS TN
03879712 1932165883 PATTON, RUTH C MD MEMPHIS TN
01273370 1215224712 PAUDEL, GOVINDA MD MEMPHIS TN
04039005 1073731592 PAULUS, BASIL M MD GERMANTOWN TN
02774356 1316110455 PAYDAR, KIARASH MD MEMPHIS TN
02106060 1033229216 PAYNE III, MELVIN P MD MEMPHIS TN
08639049 1497932024 PAYTON, STEPHANIE A MD MEMPHIS TN
08538776 1780090704 PEASLEY, AMBER M CNM MEMPHIS TN
03226735 1689669699 PEDIGO, TARA K MD JACKSON TN
00018349 1467567867 PEELER, DAVID W MD MEMPHIS TN
05554051 1417192931 PEGGINS, KRISTIE N NP-C MEMPHIS TN
00125898 1295923829 PEGRAM, ROBERT NP GERMANTOWN TN
06559323 1760916241 PELHAM, JAMES H MD MEMPHIS TN
00110298 1053396523 PELZ, FREDERICK R MD GERMANTOWN TN
00014015 1831299049 PENDER, JOHN V MD MEMPHIS TN
00018814 1710985254 PENDERGRASS, LANDON B MD MEMPHIS TN
04872351 1184030579 PEOPLES, ARIANNE PA GERMANTOWN TN
08085224 1326041062 PEREIRAS, LILIA A MD MEMPHIS TN
05782590 1982892634 PERRY, REGINA B NP MEMPHIS TN
00120583 1801896220 PERSHAD, JAY MD MEMPHIS TN
Jun 24, 2018 73 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04974576 1659698967 PETERSON, LUKE T MD MEMPHIS TN
06335551 1588985980 PETIT, MICHAEL R DO MEMPHIS TN
00018748 1972505105 PETRACEK, MICHAEL R MD NASHVILLE TN
07588226 1245551795 PETREY, CHRISTOPHER L MEMPHIS TN
07352869 1891911954 PETRINJAE-NENADIC, RADA MD MEMPHIS TN
07527594 1255787966 PETTIGREW, BENJAMIN D D.O. MEMPHIS TN
06257505 1861870792 PHARR, ZACHARY K MEMPHIS TN
06221823 1326391541 PHELPS-BERGERON, ZOEY L PA-C MEMPHIS TN
05487751 1922282573 PHIFER, CHARONDA L NP MEMPHIS TN
06429007 1164414504 PHILLIPS, MARY N FNP GERMANTOWN TN
00116177 1023075611 PHILLIPS, OWEN P MD MEMPHIS TN
04159758 1962769828 PHILLIPS, WESLEY S MD MEMPHIS TN
03221566 1477993665 PHINEHAS, RAMONA C MD MEMPHIS TN
01905552 1306208491 PHIPPS, SARAH E MEMPHIS TN
00115904 1679502454 PHOTOPULOS, GUY J MD MEMPHIS TN
05209023 1780657015 PICKETT, DARLA PA MEMPHIS TN
02332770 1538116389 PICKFORD, KISHA ACNP MEMPHIS TN
03173770 1093715203 PIERCE, ANDREW S MD MEMPHIS TN
03883517 1124111059 PIERSKI, PAMELA NP GERMANTOWN TN
00121649 1356318752 PILLAI, REKHA MD CORDOVA TN
06700394 1205928611 PINA GARZA, JESUS E M.D. NASHVILLE TN
05271023 1497195903 PINCKNEY, ASHEKIA R MD MEMPHIS TN
07522556 1740279942 PINNAKA, JYOTHISHREE R MD MEMPHIS TN
00121293 1679573984 PIPER, DAVID F MD MEMPHIS TN
03306351 1073719944 PISHKO, STEPHEN D MD MEMPHIS TN
00426347 1174702849 PITTS, SHANNON Y MD MEMPHIS TN
00122783 1902863582 PIVNICK, ENIKO K MD MEMPHIS TN
00382840 1255566824 PODRAZA, MICHAEL A MD MEMPHIS TN
Jun 24, 2018 74 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04773706 1114172376 POKHARNA, HIREN S MD MEMPHIS TN
00116395 1528068962 POLLACK, JOSEPH V MD MEMPHIS TN
04052050 1558776856 POLLACK, REBECCA MEMPHIS TN
06372052 1275534752 POMYKALA, LORA A MD GERMANTOWN TN
02559372 1912340910 PONTIFF, KRISTEN L MD MEMPHIS TN
00438786 1902161177 PONTIFF, KYLE MD MEMPHIS TN
00384815 1508155334 POOLE, JENNIFER S MD NASHVILLE TN
07932560 1962950923 POPE, JESSICA S PNP MEMPHIS TN
02239246 1487609509 PORCH, LAURA H FNP GERMANTOWN TN
03100848 1770742066 PORTER, KEEVIA Y NP MEMPHIS TN
02538856 1700225257 PORTER, RYAN C MD MEMPHIS TN
00117024 1205803608 PORTERA, STEPHEN G MD MEMPHIS TN
00119548 1124078647 PORTERFIELD, JAMES G MD MEMPHIS TN
06208752 1679529473 PORTNOY, DAVID C MD GERMANTOWN TN
00456566 1740231554 POSTELNEK, DAVID L MD MEMPHIS TN
00014908 1518924976 POSTLETHWAITE, ARNOLD E MD MEMPHIS TN
09974851 1851663462 POSTLETHWAITE, BRADLEY C MD MEMPHIS TN
04232805 1235658055 POSTON, NICOLE S NP MEMPHIS TN
00126630 1710979596 POTTER, ANGELA P MD MEMPHIS TN
01688220 1831355064 POTTER, THI K MD MEMPHIS TN
06676053 1265962450 POUR-GHAZ, ISSA MEMPHIS TN
03482007 1225230915 POURCIAU, CRYSTAL Y MD MEMPHIS TN
00116174 1386601821 POURCYROUS, MASSROOR MD MEMPHIS TN
03239711 1275751778 POWELL, BENJAMIN S MD MEMPHIS TN
08131579 1235452723 POWELL, DANIEL K MD GERMANTOWN TN
04620218 1194725432 POWELL, JOHN H NP MEMPHIS TN
04202719 1548492325 PRAJAPATI, HASMUKH J MD MEMPHIS TN
00285883 1720436710 PRATT, ANGELA PNP MEMPHIS TN
Jun 24, 2018 75 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00116053 1588664726 PRESBURY, GERALD J MEMPHIS TN
00110583 1174589980 PRITCHARD, FRANCES E MD GERMANTOWN TN
00126514 1891772570 PRITCHARD, MICHELE NP MEMPHIS TN
08283368 1619331220 PROBST, PATRICK MEMPHIS TN
00853706 1275500274 PROCTOR, EVANNA S MD JACKSON TN
00019934 1679511471 PROCTOR, JOHN H MD MEMPHIS TN
04676763 1609853381 PROCTOR, KIMBERLY E NP MEMPHIS TN
05885571 1497702096 PRUITT, MELISSA ACNP MEMPHIS TN
08428831 1851657597 PUENTE-ESPEL, JORDI MD MEMPHIS TN
00117972 1942203682 PUI, CHING-HON MEMPHIS TN
07536560 1306937438 PULUSANI, DEEPIKA R MD MEMPHIS TN
06977094 1164789533 PULUSANI, VAISHNAVI MD MEMPHIS TN
04938260 1083831689 PURDY, JULIANNE K MD MEMPHIS TN
07573031 1609182120 PURI, LATIKA MD MEMPHIS TN
01571771 1932431327 PURNELL, MARCY C FNP GERMANTOWN TN
07006558 1134121783 PURVIS, JOHN H MD MEMPHIS TN
01103052 1871780874 PUSAPATI, SATYANARAYANA MD MEMPHIS TN
05501841 1477642817 PUSHPANSHU, PUSHPANSHU MD COLLIERVILLE TN
04420218 1902087232 QADDOUMI, IBRAHIM A MD MEMPHIS TN
03907871 1497288138 QUANTRILLE, ANNA E MEMPHIS TN
00453855 1912000837 QUARLES, LEIGH D MD MEMPHIS TN
07139058 1316130669 QUDEIMAT, AMR MD MEMPHIS TN
09285262 1821457037 QUINN, KELLY FNP MEMPHIS TN
07521781 1063931020 QUITASOL, PETER ALLAN A MD MEMPHIS TN
00238861 1871080705 RACINE, MARIEME DO MEMPHIS TN
00126103 1588605463 RACK, SARAH K MD MEMPHIS TN
04178360 1548581309 RADEL, LAURA J MEMPHIS TN
04087075 1427034529 RADER, DANNY A MD MEMPHIS TN
Jun 24, 2018 76 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03709511 1053519207 RADER, LISA R NP GERMANTOWN TN
00880751 1710207436 RADFORD, JACOB R M.D. NASHVILLE TN
00880099 1750384541 RAFIEETARY, MOHAMMAD R GERMANTOWN TN
09576577 1174052237 RAFIEETARY, SALAR M.D. MEMPHIS TN
04622544 1053836197 RAGHAVAN, KAVITHA C MD MEMPHIS TN
06525858 1023462868 RAGSDALE, AMY MEMPHIS TN
00577874 1497914386 RAHMAN, MAMUNUR MD MEMPHIS TN
07209075 1407018070 RAHMAN, MD S MD MEMPHIS TN
00053272 1053673509 RAHMAN, RYAN S MEMPHIS TN
09308763 1184788747 RAI, HAR P MD MEMPHIS TN
00017515 1811971856 RAINES, EDWIN A MD MEMPHIS TN
01026573 1316265820 RAINEY, COLLINS W MD MEMPHIS TN
09722339 1821594797 RAJA, JOEL MUKESH MEMPHIS TN
04536371 1396852273 RAJAN, SANDEEP K MD GERMANTOWN TN
03025007 1962402305 RAJU, JAMPANA MD MEMPHIS TN
09359537 1669553178 RAJU, SATESH K MD MEMPHIS TN
00017967 1356307920 RAMANATHAN, JAYA MD MEMPHIS TN
03135840 1750647566 RAMIREZ, TERRI N FNP MEMPHIS TN
08600061 1457516486 RAMPERSAD, AVIND D MD MEMPHIS TN
02739235 1518150234 RAMSAY, KELINDA P MD MEMPHIS TN
04189069 1477757912 RANA, DIVYA MD MEMPHIS TN
05883736 1124002175 RANDALL, MILTON B MD MEMPHIS TN
03470385 1194824177 RANDIVE, VIJAY MD GERMANTOWN TN
08427377 1861484594 RANDOLPH, DONNA W MD MEMPHIS TN
05522376 1982076246 RANDOLPH, RICHARD PA MEMPHIS TN
01134501 1578666988 RANGA, JYOTSNA MD MEMPHIS TN
05559384 1649568395 RANGARAJAN, SANJEET V MD MEMPHIS TN
04759290 1154315067 RANGASWAMI, BHARATHI MD MEMPHIS TN
Jun 24, 2018 77 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03327791 1265432488 RANGASWAMI, NARAYANASWAMI MD MEMPHIS TN
00388500 1194905000 RANJIT, PHILLIP M MD MEMPHIS TN
07680060 1720152234 RANK, AARON L MD MEMPHIS TN
02783821 1144616996 RANSOM, DAVID G MEMPHIS TN
06806350 1174547590 RAO, ARUN R MD GERMANTOWN TN
00117993 1518960913 RAO, BHASKAR N MD MEMPHIS TN
06880211 1467950105 RASH, TUNJA NP GERMANTOWN TN
09780755 1821288085 RASHID, ABDUL MD JACKSON TN
09904713 1477614949 RATHMELL, WENDY K MD NASHVILLE TN
00122677 1639170665 RATLIFF, THOMAS W GERMANTOWN TN
09985052 1902283476 RAWAL, ARANYAK MEMPHIS TN
08959872 1255659009 RAWAL, PAWAN V MD MEMPHIS TN
00012374 1013015635 RAWLINSON, WILLIAM T MD GERMANTOWN TN
05886321 1467988535 RAY, ELLA NP GERMANTOWN TN
08357750 1245535715 RAY, JULIANNE C JASPER TN
05701079 1326128364 RAY, MARIO M MD MEMPHIS TN
00988731 1396299400 RAY, SUZANNE M PA MEMPHIS TN
00121261 1700886926 RAYDER, ROBERT N GERMANTOWN TN
09373858 1063636306 RAZA, SYED H MD MEMPHIS TN
04570760 1891893020 REBOLLEDO, MICHAEL A MD MEMPHIS TN
07685002 1356438469 RECCHIA, FRANCO M MD NASHVILLE TN
03753579 1689651366 REDD, DEBBIE S MEMPHIS TN
06674360 1699021105 REDDEN, LAURA L NP GERMANTOWN TN
00554018 1518454420 REDDICK, JULIE M MEMPHIS TN
01453583 1518087568 REDDY, DEEPAK K DO JASPER TN
00588050 1952835233 REDDY, YALA KIRTHI JOHNSON CITY TN
00528841 1679984363 REDFERN, TIFFANY M MEMPHIS TN
08125561 1003305509 REDFIELD, JORDAN MD MEMPHIS TN
Jun 24, 2018 78 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03253244 1033425319 REDMOND, AUTUMN D JASPER TN
03176501 1679930143 REECE, TALIA W NP GERMANTOWN TN
01807024 1174633515 REED JR, CHESTON M MD MEMPHIS TN
07185376 1255593919 REED, ADRIAN D MD MEMPHIS TN
00123758 1326070277 REED, JARVIS D GERMANTOWN TN
00122841 1881719938 REED, LAURA NP MEMPHIS TN
00123498 1477585347 REED, MARK E MD GERMANTOWN TN
02874078 1952442923 REED, PATRICE C MD GERMANTOWN TN
00114675 1154356764 REEF, ELLIS G MD MEMPHIS TN
07253574 1528422441 REESE, ELISHEVA FNP MEMPHIS TN
06428011 1760401426 REESE, JUANA APN MEMPIS TN
00126971 1912927054 REGAN, WILLIAM B MD MEMPHIS TN
04109336 1710413885 REICH, MICHAEL S MEMPHIS TN
01458353 1548243090 REINER, ERIC H DO GERMANTOWN TN
02383761 1124422175 REINHERZ, BENJAMIN J DO MEMPHIS TN
02157316 1841293545 REISS, ULRIKE M MEMPHIS TN
04436557 1497989347 RELIA, SACHIN MD MEMPHIS TN
04123502 1457366502 RESTREPO, ALEJANDRO MD MEMPHIS TN
01373837 1689036048 REYNOLDS, JACKSON A MEMPHIS TN
02872340 1619402955 REZAEI MIRGHAED, MONA MEMPHIS TN
00956866 1669827218 RICCIO, CHARLES A MEMPHIS TN
06078264 1619403086 RICE, CANDICE A MD MEMPHIS TN
06126310 1538546874 RICE, JOHN P FNP MEMPHIS TN
02358211 1396792057 RICE, KIMBERLY F MD MEMPHIS TN
00015164 1518072271 RICE, STEVEN N MD MEMPHIS TN
06179065 1427431097 RICH, JESSICA D MEMPHIS TN
05233856 1689086811 RICHARDSON, CODY M.D. MEMPHIS TN
00121388 1962451252 RICHARDSON, DAVID J MEMPHIS TN
Jun 24, 2018 79 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03873852 1922410216 RICHARDSON, REBECCA M.D. MEMPHIS TN
00126453 1750313631 RICHEY, SYLVIA S MD GERMANTOWN TN
04833878 1871033472 RICHMOND, LAKINA S APN MEMPHIS TN
00456759 1760830061 RICKARD, MICHELLE N APRN MEMPHIS TN
00116270 1497759898 RICKMAN, CHRISTOPHER E MD PULASKI TN
09255245 1164941928 RIDLEY-PRYOR, TRACEE L DNP MEMPHIS TN
06202853 1659586113 RIEDLEY MALONE, SHANNON E MD MEMPHIS TN
02938032 1548657281 RIEZENMAN, ARIEL R MEMPHIS TN
05851302 1366684979 RIGSBY PROUSALIS, TINA A JASPER TN
03807785 1952834939 RIKARD, CLAIRE E MEMPHIS TN
01779511 1962820779 RILEY, SHANNON MEMPHIS TN
00119445 1881697266 RINKER, LILLIAN H MD GERMANTOWN TN
07254512 1679935035 RIOS-DORIA, ERIC V MEMPHIS TN
00120686 1942201058 RITTENBERRY, WILLIAM H MD MEMPHIS TN
00903828 1154748531 RIVERA, PHILIP A NASHVILLE TN
00303528 1881681070 RIVERA-TAVAREZ, CARLOS E MD COLLIERVILLE TN
04488767 1508122656 RIYAT, NAYNA D MEMPHIS TN
01873239 1255330957 ROBBINS, EDWARD T MD MEMPHIS TN
07686570 1306200738 ROBBINS, JESSICA S DNP MEMPHIS TN
02273240 1649239849 ROBERTS, CHARLES W MD PH MEMPHIS TN
03900761 1679696793 ROBERTS, GRAHAM L MD MEMPHIS TN
00118168 1366445835 ROBERTS, JON A MEMPHIS TN
00114155 1053307090 ROBERTS, KATHLEEN R FNP GERMANTOWN TN
04488807 1093248379 ROBERTS, MALLORY MEMPHIS TN
00018140 1871583054 ROBERTSON, JON H M.D. MEMPHIS TN
06038715 1427045038 ROBERTSON, KENNETH R MD MEMPHIS TN
03886373 1831198522 ROBERTSON, MAY-LEE M DO NASHVILLE TN
08072781 1568857613 ROBERTSON, SARA MD MEMPHIS TN
Jun 24, 2018 80 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03657509 1740264563 ROBINS, DAVID R MD MEMPHIS TN
03026098 1922027200 ROBINSON, GILES MD MEMPHIS TN
00972041 1013394964 ROBINSON, KYLE E MEMPHIS TN
03287581 1629456918 ROBINSON, LAUREN MD MEMPHIS TN
07985073 1265534184 ROBINSON, LLOYD E MD MEMPHIS TN
00017292 1629036710 ROBINSON, MARILYN B MD NASHVILLE TN
00018677 1073505228 ROBINSON, WILEY T MD MEMPHIS TN
03182241 1588612238 ROCHESTER, RICHARD PA MEMPHIS TN
02179710 1033366190 RODGERS, JEREMIAH R PAC MEMPHIS TN
06073865 1376788117 RODRIGUEZ, JORGE A MD MEMPHIS TN
00116126 1467492769 RODRIGUEZ, MIGUEL H MD MEMPHIS TN
09359745 1154790111 RODRIGUEZ, STEVEN FNP MEMPHIS TN
05926211 1528168408 RODWELL, JASON PA JASPER TN
06129058 1407842131 ROGERS, CYNTHIA L AOCNP MEMPHIS TN
09287230 1093101156 ROGERS, NATHANIEL G MEMPHIS TN
06178331 1881675882 ROHRER, MICHAEL J MD MEMPHIS TN
02876356 1356505507 ROMERO LEGRO, IVAN H MD MEMPHIS TN
02822599 1609820679 ROSAS, MARJORIE L NP GERMANTOWN TN
00923869 1538497300 ROSEBROCK, RICHARD E MD MEMPHIS TN
01683328 1174056501 ROSS, JORDAN D MEMPHIS TN
00005556 1306988589 ROSS, PAMELA A JASPER TN
05177535 1497142178 ROSSI, GIAN C MEMPHIS TN
06085584 1356377352 ROSSI, MICHAEL G DO MEMPHIS TN
09122211 1891071478 ROTENBERRY, AMANDA NP MEMPHIS TN
04087841 1811925704 ROTHROCK, ALAN C MD JACKSON TN
05370078 1578552188 ROURKE, LEO MEMPHIS TN
06775042 1457335150 ROUX, JEFFREY J MD MEMPHIS TN
05201241 1164682084 ROWLAND, ANNE P MD MEMPHIS TN
Jun 24, 2018 81 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05829250 1184768384 ROWLAND, CEYLON M MD MEMPHIS TN
02824291 1174526768 ROWLAND, CHRIS C DDS MEMPHIS TN
01854042 1235317496 ROY, NICOLE MD MEMPHIS TN
00124320 1427050285 RUBIN, MICHAEL A MD MEMPHIS TN
00118004 1174526750 RUBNITZ, JEFFREY E MEMPHIS TN
09220520 1942733100 RUEDRICH, ELIZABETH MEMPHIS TN
03134369 1962704395 RUIZ CUERO, MAURICIO MD MEMPHIS TN
00123063 1083690341 RUIZ, JUDITH MD MEMPHIS TN
00120636 1629047600 RUIZ, JULIO P MD MEMPHIS TN
03189879 1568984698 RULEMAN, HALEY M NP MEMPHIS TN
00120720 1801812029 RUSHING, PAULA J MD MEMPHIS TN
08527211 1851478796 RUSSO, CAROLYN L MD MEMPHIS TN
05937574 1053403428 RUSSO, WILLIAM L MD GERMANTOWN TN
00125126 1316987969 RUTHERFORD, JOLEE B MD COLLIERVILLE TN
06609254 1033435706 RYDER, ALEX B MD MEMPHIS TN
00620209 1568647006 SAAD, ALI G MD MEMPHIS TN
04606271 1073990933 SABGHI, ROXANNA MEMPHIS TN
00029053 1124120571 SABIN, NOAH D MD MEMPHIS TN
03321094 1578870796 SADLER, SAM H MD MEMPHIS TN
05037004 1356797898 SAHU, SHWETAPADMA MEMPHIS TN
04777564 1649295452 SAIED, NAHEL N MD MEMPHIS TN
03106501 1033374079 SAINI, ARUN MD MEMPHIS TN
00018232 1487708079 SAINI, TEJINDER S MD CORDOVA TN
09782544 1578679395 SALAZAR, HOLGER P MD GERMANTOWN TN
00124193 1336106681 SALAZAR, JORGE A MD MEMPHIS TN
02287781 1881093482 SALEEM, NASIR MD MEMPHIS TN
04989221 1003113606 SALLEY, SETH A OD MEMPHIS TN
07306865 1235138389 SALTZMAN, JOEL A MD AUGUSTA TN
Jun 24, 2018 82 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09501270 1922026707 SAM DELK MD MEMPHIS TN
00011500 1407833965 SAMAHA, JOSEPH K MD GERMANTOWN TN
04327561 1982964524 SAMSON, FERNAND D MD MEMPHIS TN
04182058 1326082157 SAMSON, JACQUES MD MEMPHIS TN
00122566 1467428177 SAMUEL, VINCENT K MD KNOXVILLE TN
06386851 1124097050 SANCES II, RICHARD A MD KNOXVILLE TN
03850567 1215467485 SANCHEZ PADRON, CESAR A MD MEMPHIS TN
02334886 1588668057 SANCHEZ, APRIL C MD MEMPHIS TN
00012918 1477523322 SANDER, CRAIG J MEMPHIS TN
03025526 1386043891 SANDERS, ADRIENNE J PA MEMPHIS TN
02128297 1457672313 SANDERS, CATHERINE D MD MEMPHIS TN
01229242 1841634649 SANDERS, DANA L MD MEMPHIS TN
09127829 1962630699 SANDHU, HITESH MD MEMPHIS TN
04778866 1144508854 SANDHU, PREET K MD MEMPHIS TN
00117973 1629071204 SANDLUND, JOHN T MD MEMPHIS TN
00488853 1336313824 SANDOVAL, JOHN A MD MEMPHIS TN
08639852 1831170448 SANDS, CHRISTOPHER MD MEMPHIS TN
04184559 1457790610 SANTA CRUZ TERRAZAS, MARINA MD MEMPHIS TN
00118064 1447253026 SANTANA, VICTOR M MEMPHIS TN
03726264 1205070075 SANTIAGO, TERESA C MD MEMPHIS TN
00123467 1720010648 SANTOSO, JOSEPH T MEMPHIS TN
01576270 1598923039 SAPARIA, VIPUL H MD MEMPHIS TN
01978742 1063437390 SARKAR, BROJO MD MEMPHIS TN
05481557 1174579908 SASINOUSKI JR, JOHN M JASPER TN
00010229 1184739401 SASLAWSKY, MARK J MD MEMPHIS TN
03986596 1700185089 SATAPATHY, SANJAYA K MD MEMPHIS TN
03620850 1144461880 SATHANANDAM, SHYAM K MD MEMPHIS TN
02005871 1205852571 SAUNDERS, ERIC J MD KNOXVILLE TN
Jun 24, 2018 83 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07921055 1205345378 SAUNDERS, MARGARET C NP GERMANTOWN TN
02559316 1851395446 SAVAGE, JAMES A MD MEMPHIS TN
00016084 1700888252 SAXTON, GRADY L MD MEMPHIS TN
02631531 1164659801 SCARPATO, KRISTEN R MD NASHVILLE TN
01337582 1487638102 SCARVEY, LISA MD MEMPHIS TN
07280361 1326135443 SCHAEFER, HEIDI M NASHVILLE TN
09536371 1164956116 SCHAFFNER, AARON L M.D. MEMPHIS TN
01776530 1710220231 SCHALLER, ALEXANDRA DO MEMPHIS TN
00015398 1821094418 SCHANZER, M CATHLEEN MD MEMPHIS TN
06705703 1952721839 SCHARR, TRAVIS S MD MEMPHIS TN
04003562 1306366463 SCHENONE GIUGNI, CLAUDIO V MEMPHIS TN
04571343 1750588596 SCHENONE, MAURO H MD MEMPHIS TN
00580591 1780100214 SCHLAFER, WHITNEY NP GERMANTOWN TN
04675250 1629504063 SCHMIDT, JENNY R MD MEMPHIS TN
00986725 1639497084 SCHNEIDER, BRADFORD MD MEMPHIS TN
00017912 1710996624 SCHOETTLE, JR, GLENN P MD MEMPHIS TN
00722363 1134362452 SCHOLZE, POLLYANN FNP MEMPHIS TN
00111806 1942267505 SCHOUMACHER, ROBERT A MEMPHIS TN
05978213 1245633304 SCHRINER, ELIZABETH E PA MEMPHIS TN
00110116 1891791349 SCHRINER, ROBERT W MD COLLIERVILLE TN
07928043 1598152928 SCHROEDER, ANDREW MEMPHIS TN
06229861 1639279847 SCHULZ, ANGELA M MD MEMPHIS TN
08389519 1740716265 SCHUSSLER, NOAH E MEMPHIS TN
00925261 1366765182 SCHWAB, STEVE J MD MEMPHIS TN
00620760 1922104157 SCHWARTZ, DAVID L MD GERMANTOWN TN
05802335 1407146368 SCHWARTZ, JASON R MD MEMPHIS TN
00112463 1306878228 SCHWARTZBERG, LEE S MD GERMANTOWN TN
07382358 1578870853 SCOTT, ANGELA M FNP GERMANTOWN TN
Jun 24, 2018 84 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00126908 1639173446 SCOTT, DAWN H MEMPHIS TN
00122912 1952368029 SCOTT, RANDALL L MD MEMPHIS TN
02606860 1215939350 SCROGGINS, MICHELLE L NP GERMANTOWN TN
06826097 1053568790 SCRUGHAM, JEFFREY A MD MEMPHIS TN
06621828 1407233364 SEAGREN, BENJAMIN MEMPHIS TN
03027561 1528473915 SEBASTIAN, ANDREA L PNP-B MEMPHIS TN
05656336 1972940088 SEGER, CATHERINE MD MEMPHIS TN
04821862 1134316250 SELLERS, NYKKIA N NP MEMPHIS TN
09853223 1134474810 SENTER, KATHERINE A MEMPHIS TN
00126656 1508864034 SEPULVEDA, VANESSA S MEMPHIS TN
03475837 1255867925 SERIO, GRACE MEMPHIS TN
09235864 1275836371 SETH, ANKUR MD MEMPHIS TN
08431058 1154512275 SETHI, MANISH MD NASHVILLE TN
09000503 1306104385 SETHI, POOJA R MD MEMPHIS TN
09777868 1366897605 SEVERYN, NICHOLAS T MEMPHIS TN
07051366 1467554279 SEVIER, GEORGETTE MD MEMPHIS TN
04157822 1114097458 SEYMORE, MELVINIE MD MEMPHIS TN
07109840 1871673202 SHAFI, NADEEM MD MEMPHIS TN
00117591 1235155599 SHAH, ANANT MD MEMPHIS TN
07327750 1316226319 SHAH, JIGNESH N MD MEMPHIS TN
00031784 1861758559 SHAH, KINJAL S MD MEMPHIS TN
09602091 1184870958 SHAH, NAMRATA S MD MEMPHIS TN
08602892 1538315304 SHAH, SAMIR H MD MEMPHIS TN
05583355 1033477070 SHAHAN, CHARLES P MD MEMPHIS TN
02707518 1699987842 SHAHBAZ, FATIMA MD MEMPHIS TN
00123753 1528018868 SHAIKH, AFTAB A MD MEMPHIS TN
04737212 1770728784 SHAMLEY, LORETTA MSN N GERMANTOWN TN
08228780 1659325587 SHANKAR, SRIDHAR MD MEMPHIS TN
Jun 24, 2018 85 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01150531 1508066366 SHANNON, HELENA G MEMPHIS TN
00873316 1588733992 SHAPPLEY III, WILLIAM V MD MEMPHIS TN
02852329 1639337744 SHAPPLEY, REBEKAH H MD MEMPHIS TN
00013251 1972588457 SHARFMAN, DAVID M MD GERMANTOWN TN
02224776 1780849430 SHARP, CHRISTOPHER D MD MEMPHIS TN
04571027 1982898573 SHARP, LAURA L NP MEMPHIS TN
02078765 1821262890 SHARPE, JOHN P MD MEMPHIS TN
03682847 1790219293 SHAW, AARON MD MEMPHIS TN
08184811 1396254561 SHAW, ALEXANDRIA NP MEMPHIS TN
00877855 1669579116 SHAW, JONATHAN D MD MEMPHIS TN
05620204 1013270909 SHAW, SHUNDONNA S NP MEMPHIS TN
09956366 1780024117 SHAZLY, AMIN M DO KNOXVILLE TN
08506827 1659517977 SHEARMAN, ASHLEY E MD GERMANTOWN TN
00110518 1942264684 SHEFFIELD, EUGENE G MD MEMPHIS TN
00116441 1043316821 SHELL III, DAN H MD MEMPHIS TN
00016862 1538268974 SHELLER, JAMES R MD NASHVILLE TN
00016525 1972506384 SHELTON, BRIXEY R MEMPHIS TN
02154263 1326096066 SHELTON, SUSAN S PAC MEMPHIS TN
06356551 1518313667 SHENEP, LORI E MEMPHIS TN
07100566 1952834244 SHENEP, MELISSA MEMPHIS TN
06107768 1073965141 SHEPHARD, BRANDY NP GERMANTOWN TN
00013768 1720044894 SHEPHARD, CLAUDETTE J MD MEMPHIS TN
01334776 1265736607 SHETE, MONA M MD MEMPHIS TN
01220589 1124255823 SHEYN, ANTHONY MD MEMPHIS TN
08024838 1700892387 SHIBATA, DAVID MD MEMPHIS TN
05629053 1922019702 SHIRAZEE, SYED H MD BARTLETT TN
04088114 1609072842 SHIRES, COURTNEY B MD GERMANTOWN TN
00125327 1265498752 SHIRWANY, ARSALAN MD MEMPHIS TN
Jun 24, 2018 86 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08834371 1891220505 SHIVANI, SONIA S NP MEMPHIS TN
01107536 1700010055 SHIVE, STEPHANIE H NP MEMPHIS TN
00371879 1417056250 SHOAIB, QURESHI MD MEMPHIS TN
00126589 1760469449 SHOPE, SHEILA MEMPHIS TN
00015224 1205823473 SHORT, RONALD M MD JACKSON TN
00689724 1164697926 SHRESTHA, RABIN MD MEMPHIS TN
02976278 1528404662 SHROYER, DEAN B MD COLLIERVILLE TN
04287826 1144464843 SHULTZ, ELIZABETH K MD NASHVILLE TN
00015177 1922074392 SHURLEY, WILLIAM R MD MEMPHIS TN
06728841 1730288432 SICKLE, DAVID M MD JACKSON TN
02981821 1124113832 SIDDIQ, MUHAMMAD S MD ATOKA TN
01659843 1720377583 SIDDIQUI, ADEEL MD MEMPHIS TN
01734522 1356515845 SIDHU, MANAVJOT MD MEMPHIS TN
01480066 1790100121 SIEBRASE WILKES, LAUREN R APN MEMPHIS TN
02785214 1780806117 SIEGA, CACILDA MD MEMPHIS TN
01078333 1134410608 SIEGRIST, KARA K MD NASHVILLE TN
09172539 1255755575 SIKES, ALEXANDER J JASPER TN
00123862 1881660595 SILBERBERG, MARC S MD KNOXVILLE TN
05353356 1073046363 SILBERMAN, JASON MEMPHIS TN
05683027 1093759607 SIMMONS, ANDREA M NP MEMPHIS TN
00011350 1184608721 SIMMONS, DAVID L MD MEMPHIS TN
06583840 1285991018 SIMMONS, ELIZABETH C MD MEMPHIS TN
07402564 1023470465 SIMON, JADE E FNP-B MEMPHIS TN
08225063 1023181864 SIMPSON, MARY K NP GERMANTOWN TN
03059751 1912099326 SINARD, ROBERT J MD NASHVILLE TN
05683797 1518924596 SINCLAIR, SCOTT MD MEMPHIS TN
01174001 1427555291 SINGH, MEGHNA P MEMPHIS TN
02739729 1457461105 SINGH, RAJEEV MD COLLIERVILLE TN
Jun 24, 2018 87 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03624073 1497877377 SINGH, RAVIKUMAR S MD MEMPHIS TN
09905762 1407344625 SINGH, SAVDEEP MEMPHIS TN
00073872 1346413234 SINTIM-DAMOA, AKOSUA MD MEMPHIS TN
02773064 1487816286 SITTHI-AMORN, JITSUDA MD MEMPHIS TN
03170251 1124291240 SITTNICK, STEPHEN M DO MEMPHIS TN
05632270 1134547037 SIVAM, ANITA MEMPHIS TN
00119664 1407059074 SKARICIC, DAVOR MD MEMPHIS TN
09003361 1598057861 SKIBBA, AFSHIN MEMPHIS TN
00010445 1093772048 SKINNER JR, ROBERT B MD MEMPHIS TN
01652305 1427031038 SLATE, KIMBERLY G FNP MEMPHIS TN
02353841 1235287301 SLOAN, ANTHONY B MD BARTLETT TN
08681841 1457351165 SLOAS, HAROLD A DO NASHVILLE TN
03639047 1457351165 SLOAS, HAROLD A DO MEMPHIS TN
00117313 1275590507 SMARTT, CHANTAY D MD MEMPHIS TN
00115827 1437188273 SMILEY, LINDA M MD GERMANTOWIN TN
08684041 1427443142 SMITH YOUNG, JAMILA S NP MEMPHIS TN
04032065 1548467376 SMITH, ADAM G MD MEMPHIS TN
09137355 1043582489 SMITH, ADAM W JASPER TN
06238076 1982138624 SMITH, ALYSSA M DO MEMPHIS TN
04389240 1891193264 SMITH, ANNA K NP GERMANTOWN TN
01323506 1235653445 SMITH, CATHERINE R NP MEMPHIS TN
03086037 1194866186 SMITH, CHRISTA B NP GERMANTOWN TN
00320218 1124086996 SMITH, DANIEL NP MEMPHIS TN
07087845 1487082699 SMITH, EBONY NP MEMPHIS TN
05674063 1144501701 SMITH, HEATHER D NP GERMANTOWN TN
00018376 1881676526 SMITH, III, CLYDE R MD MEMPHIS TN
01304803 1235498908 SMITH, JEFFREY B MD MEMPHIS TN
08879264 1831510007 SMITH, KEISHA R NP MEMPHIS TN
Jun 24, 2018 88 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00016337 1144223298 SMITH, KIRBY L M.D. MEMPHIS TN
05252357 1962665505 SMITH, LEAH P APN MEMPHIS TN
05688375 1891934055 SMITH, LORETTA Q NP MEMPHIS TN
00931255 1770637464 SMITH, MARTHA A NP GERMANTOWN TN
05778869 1245456938 SMITH, RACHAEL E MD GERMANTOWN TN
01370851 1790999753 SMITH, RANDELON D MD MEMPHIS TN
03989793 1366596066 SMITH, REGINA C NP MEMPHIS TN
07585554 1073967949 SMITH, SAMUEL H MEMPHIS TN
08006741 1295955797 SMITH, SARAH MD MEMPHIS TN
06284048 1609810142 SMITH, SUZANNE E M.D. NASHVILLE TN
00807703 1124306097 SMITH, VENETIA A FNP GERMANTOWN TN
00016831 1912058579 SMITH, VINCENT D MD MEMPHIS TN
04638766 1124482369 SMITH, WESLEY T MEMPHIS TN
01431545 1730419474 SMITH-VAUGHN, MELISSA NP JASPER TN
02133077 1962402487 SMITHERS, MAUREEN A MD GERMANTOWN TN
04051338 1487611141 SMOTHERS, CHANDREA D MD MEMPHIS TN
05370803 1538320353 SNAMAN, JENNIFER M MD MEMPHIS TN
01388256 1003293622 SNELL, PETER D MEMPHIS TN
02481807 1710188941 SNIDER, MARK A DO MEMPHIS TN
06172806 1679745780 SNODGRASS, BRETT B FNP-C CORDOVA TN
01136225 1902080815 SNOW, JENNIFER L MD MEMPHIS TN
00126286 1114904893 SNYDER, ANGELA NP MEMPHIS TN
08851825 1205240041 SNYDER, DANIEL T NP MEMPHIS TN
06504252 1114310711 SNYDER, KATE W APN MEMPHIS TN
06925067 1902913015 SNYDER, LINDA MEMPHIS TN
03154726 1336384585 SODHI, AMIK MD MEMPHIS TN
00126193 1851320691 SOMER, BRADLEY G MD GERMANTOWN TN
00323278 1568996379 SON, CHRISTINE K MEMPHIS TN
Jun 24, 2018 89 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07971854 1922388206 SONG, SEUNG JAE T DPM GERMANTOWN TN
00126492 1760472757 SORENSON, JEFFREY M MEMPHIS TN
02079859 1114245107 SPARKS, DOROTHY MD MEMPHIS TN
03334500 1508368820 SPART JR, KENNETH P NP MEMPHIS TN
07178869 1679630891 SPEIGHT, DEANNA K MUNFORD TN
05036765 1578979084 SPELLINGS, CARYN D NP BARTLETT TN
05086721 1881652543 SPENTZAS, THOMAS MD MEMPHIS TN
01357878 1861895419 SPICKLER-ELAMS, VIRGINIA K NP MEMPHIS TN
00122446 1699776518 SPIERS, KATHLEEN D MEMPHIS TN
02153747 1265667596 SPINELL, JOSEPH DO NASHVILLE TN
05438351 1003991902 SPIOTTA, LARRY B MD GERMANTOWN TN
01539368 1336552090 SPOLLEN, DANIEL P JASPER TN
00279731 1316109531 SPOTTS, CALEY M MD MEMPHIS TN
00114174 1700843679 SPRABERY, LAURA R MD MEMPHIS TN
02557873 1336573179 SPRADLEY, LAUREN E MEMPHIS TN
00851357 1235385832 SPRAKER-PERLMAN, HOLLY L MD MEMPHIS TN
07436029 1306090725 SRINIVASAN, ASHOK MD MEMPHIS TN
02182756 1417144916 SRINIVASAN, SAUMINI MD MEMPHIS TN
04553211 1669451134 STAGGENBORG, JOSEPH L MD KNOXVILLE TN
08486871 1013443753 STALL, MELANIE MEMPHIS TN
00115338 1083614572 STAMPER, JAMES J MD GERMANTOWN TN
09988582 1679560288 STAMPS, JAMES K MD MEMPHIS TN
04428062 1831364330 STANFILL, JOHN G MD MEMPHIS TN
01583381 1487031365 STANTON, CRYSTAL A MEMPHIS TN
04085744 1104874189 STARK, CHRISTOPHER L DO NASHVILLE TN
08256353 1992236772 STARRETT, WARREN PA JASPER TN
05373372 1114360690 STASZAK, JESSICA K MD MEMPHIS TN
07304851 1295761336 STEADMAN, JOY L MD MEMPHIS TN
Jun 24, 2018 90 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
01150555 1306922067 STECKER, ELLEN J MD MEMPHIS TN
00972582 1558392233 STEIN, LEE D MD MEMPHIS TN
07627718 1467417246 STEINBERG, HELMUT MD MEMPHIS TN
04339370 1780717090 STEINHAUER, BRUCE W MD MEMPHIS TN
08638594 1467978403 STEPHENS, MALLORY PA MEMPHIS TN
05638359 1861468571 STEPHENS, RAJ K MD KNOXVILLE TN
06703843 1093190365 STEPHENS, RYAN E NP MEMPHIS TN
08977550 1295785004 STEPHENSON, ROBERT C MD MEMPHIS TN
02289365 1518900257 STEPNIAKOWSKI, KONRAD T MD MEMPHIS TN
01425219 1215381678 STEVENS, TRENTON T MEMPHIS TN
02023074 1851359665 STEWART, CHARLES W NP MEMPHIS TN
00116759 1619977188 STEWART, DAVID G MD GERMANTOWN TN
09209070 1265755938 STEWART, ELIZABETH A MD MEMPHIS TN
09956777 1427480565 STEWART, JASON C FNP MEMPHIS TN
00273711 1902874282 STEWART, LESLIE D MD MEMPHIS TN
09779053 1528323797 STEWART, ROBERT J MD MEMPHIS TN
08422555 1528289808 STICKLEY, SHAUN M MEMPHIS TN
05289711 1972632362 STINNES, JACQUELYN NP GERMANTOWN TN
00117912 1578529129 STOCKS, ROSE MARY S MD MEMPHIS TN
00116987 1548263916 STOCKSTILL, TODD F MD GEMANTOWN TN
06503076 1487876017 STOIKES, NATHANIEL F MD MEMPHIS TN
07077077 1073049474 STOKES, LEA E MEMPHIS TN
03075047 1689916090 STONE, LEIGH ANN M NP MEMPHIS TN
03576365 1720584816 STONE, TYSON R NP GERMANTOWN TN
00115853 1467410126 STORGION, STEPHANIE MD MEMPHIS TN
07225730 1063528198 STOUT, JEFFREY MD GERMANTOWN TN
04776561 1215984166 STOUT, PAUL K JASPER TN
00119168 1912922345 STOVALL, THOMAS G MD GERMANTOWN TN
Jun 24, 2018 91 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
06277798 1174966600 STRAIN, MATTHEW MEMPHIS TN
03582566 1669911756 STRELSIN, JENNY R NP MEMPHIS TN
01924321 1356846091 STRENGTH, RACHEL E MEMPHIS TN
04252759 1881942423 STRICKLAND, CARSON D MEMPHIS TN
01027367 1831151604 STROMBERG, DANIEL MD MEMPHIS TN
00562701 1710919352 STRUBLE, DAVID L MD MEMPHIS TN
08733702 1750887766 STUBER, JACQUELINE D MEMPHIS TN
08409807 1053514455 STURDIVANT, JOSEPH M MD GERMANTOWN TN
04031888 1982830915 SUBLETTE, NINA K NP MEMPHIS TN
01422007 1306959366 SUBRAMANIAM, POORNA MD MEMPHIS TN
09577767 1508814484 SULLIVAN DONALD MD MEMPHIS TN
04923068 1043303548 SULLIVAN III, JOSEPH C MD MEMPHIS TN
09631315 1114913555 SULLIVAN, ANNE L MD GERMANTOWN TN
00122541 1538125711 SULLIVAN, JANE A FNP MEMPHIS TN
04125350 1952504938 SULLIVAN, JENNIFER L MD GERMANTOWN TN
01401356 1184980872 SULLIVAN, MARIAM M MD MEMPHIS TN
00989831 1235234808 SULTAN-ALI, IBRAHIM A MD MEMPHIS TN
08126261 1124220025 SUMEDHA, FNU MD MEMPHIS TN
00925899 1467474981 SUMMERS, SAMUEL T MD MEMPHIS TN
02603564 1538192141 SUMMITT, MARGARET Z MD GERMANTOWN TN
00116255 1376568709 SUMMITT, ROBERT L MD GERMANTOWN TN
04374096 1922206622 SUMPTER, KATHRYN M MD MEMPHIS TN
03488833 1669461679 SUMROK, DANIEL D MD MEMPHIS TN
00121731 1174580401 SURBROOK, MICHELLE L MD MEMPHIS TN
09653566 1982984951 SWAMINATHAN, NITHYA MD MEMPHIS TN
08926731 1811145527 SWAMINATHAN, THIRUKANDEESWAR MD MEMPHIS TN
00489707 1235247958 SWAMY, USHA B MD CORDOVA TN
03756803 1972532570 SWANSON, ALLISON P FNP COLLIERVILLE TN
Jun 24, 2018 92 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09805792 1083695688 SWANSON, HEATHER R MD MEMPHIS TN
08386361 1457544033 SWATZELL, VICTORIA M NP MEMPHIS TN
00116397 1881694255 SWEENEY, MARY P MD MEMPHIS TN
00126351 1932186616 SWEENEY, TERESA A NP MEMPHIS TN
09203271 1093195885 SWIFT, ELIZABETH G APN MEMPHIS TN
06878092 1710307137 SWIGLER, COLIN W MD MEMPHIS TN
09950583 1730615709 SYKES, ELIZABETH A NP MEMPHIS TN
09854242 1831191915 SYKES, PAMELA J NP MEMPHIS TN
05683891 1942315627 SYKES, RICHARD D MEMPHIS TN
00122540 1396702742 SZORADY, JEAN E NP MEMPHIS TN
03282803 1215296462 TACKETT JR, TIMOTHY P MD MEMPHIS TN
09625867 1629202585 TADPHALE, SACHIN D MD MEMPHIS TN
05856831 1821190109 TAG, ARNOLD R MD MEMPHIS TN
00121325 1447217922 TALATI, AJAY L MD MEMPHIS TN
06439018 1336383728 TALLEUR, AIMEE C MD MEMPHIS TN
08033275 1386008019 TALLY, IAN R MEMPHIS TN
02433843 1457536559 TALWAR, MANISH MD MEMPHIS TN
00409711 1396854493 TAMEEZ, IFFAT MD MEMPHIS TN
00034055 1114997814 TANKERSLEY, MICHAEL S MD MEMPHIS TN
00115692 1003921404 TANNER, PAUL MD GERMANTOWN TN
05207765 1912992967 TAROKH, SAEED MD BARTLETT TN
03689557 1942475728 TATE, DANIELLE L MD MEMPHIS TN
00112465 1053340802 TAUER, KURT W MD GERMANTOWN TN
06330814 1245529668 TAYLER, EZEKIEL DO MEMPHIS TN
09079724 1750591129 TAYLOR JR, EDDIE L MD MEMPHIS TN
07309591 1417161431 TAYLOR, ALAN MF MEMPHIS TN
05059203 1790044147 TAYLOR, CASEY S MD MEMPHIS TN
00120710 1144200999 TAYLOR, EDWIN O MD MEMPHIS TN
Jun 24, 2018 93 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02200205 1750689105 TAYLOR, HEATHER H NP MEMPHIS TN
02605005 1043216427 TAYLOR, HERBERT A MD MEMPHIS TN
09375729 1710381264 TAYLOR, JAKEISHA NP MEMPHIS TN
04601275 1275501561 TAYLOR, RONALD F MD JACKSON TN
09137391 1073594909 TEACH, GUY V MD MEMPHIS TN
05426331 1851326888 TEAGUE, CLINT T MD MEMPHIS TN
07379046 1073582110 TEAGUE, TODD MD JACKSON TN
05908853 1285952572 TEMIYAKARN, LOYRIRK MD MEMPHIS TN
07151371 1982066460 TEMPLE, JENNIFER R NP MEMPHIS TN
01370862 1730522673 TEMTEM, TSEGAYESUS MEMPHIS TN
00119269 1790789527 TERRELL JR, WILLIAM MEMPHIS TN
00008269 1902991706 TERRY, KENNY MD MEMPHIS TN
06255730 1760824627 TESHOME, MERON K M.D. MEMPHIS TN
02730850 1255865234 TETERINA MOHAMMED, EVGENIYA MEMPHIS TN
05487755 1770903882 THACKER, AMBER L MD MEMPHIS TN
04076880 1932555919 THIESSEN, CRAIG R MEMPHIS TN
07676353 1407894603 THOMAS JR, JAMES E MD MEMPHIS TN
04880062 1134528797 THOMAS, AMBER M APN MEMPHIS TN
05587001 1821418104 THOMAS, AMY S NP MEMPHIS TN
00921827 1801070750 THOMAS, ANNA K MD MEMPHIS TN
01736704 1295762797 THOMAS, JOHN C MD MEMPHIS TN
09378530 1033473970 THOMAS, JONATHAN F MD NASHVILLE TN
04184218 1437323359 THOMAS, JOYESH S MD MEMPHIS TN
00115954 1578678975 THOMAS, LLOYD R MD GERMANTOWN TN
04288712 1992999791 THOMAS, SHELIA K NP MEMPHIS TN
09378269 1033128848 THOMASON, FRED G MD MEMPHIS TN
05028509 1538383765 THOMPSON, ANDRE C MD MEMPHIS TN
07451219 1376633594 THOMPSON, CANDACE M MD CORDOVA TN
Jun 24, 2018 94 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00114714 1982660015 THOMPSON, JEROME W MD MEMPHIS TN
06737326 1871594663 THOMPSON, JOHN W MD MEMPHIS TN
07781813 1992793251 THOMPSON, KENNETH A MD GERMANTOWN TN
01880056 1841610458 THOMPSON, KIRK MD MEMPHIS TN
00126155 1386600567 THOMPSON, NATASCHA S MD CORDOVA TN
04687359 1720338023 THOMPSON, REBECCA JASPER TN
00533266 1770011033 THOMPSON, SARAH M MD MEMPHIS TN
03323528 1891106936 THOMSON, NICHOLAS C MD MEMPHIS TN
01659528 1962480368 THOTA, SURESH MD COLLIERVILLE TN
00017990 1356318661 THRELKELD, MICHAEL G MD MEMPHIS TN
00124291 1578530895 THRELKELD, STEPHEN C MD MEMPHIS TN
08202001 1588711469 THROCKMORTON, ALYSSA D MD MEMPHIS TN
00631778 1194968420 THROWER, DANIEL R MD KNOXVILLE TN
00407367 1528066495 TIAN, GANG G MD MEMPHIS TN
00117856 1619977964 TIDWELL, TRACY MEMPHIS TN
09324064 1376806851 TIGGELAAR, SARAH M MD MEMPHIS TN
06854554 1649711508 TILLMAN, LAKESHA D FNP-C MEMPHIS TN
02074591 1720017577 TILLMANNS, TODD D MD MEMPHIS TN
01038535 1356396717 TINCHER, MATTHEW R MD NASHVILLE TN
02678077 1568493948 TINKER, CORY R MD MEMPHIS TN
06322338 1366769069 TINKLE, CHRISTOPHER L MD MEMPHIS TN
04808755 1861794000 TO, CHIU YUEN DO MEMPHIS TN
01283040 1619400348 TOBEY, DEVON MEMPHIS TN
09872894 1699059667 TOLBERT, WHITNEY W NP GERMANTOWN TN
09774315 1811942170 TOLLEY, SUSAN ACNP COLLIERVILLE TN
08507859 1669850780 TOLLIVER, KYLA MEMPHIS TN
01728316 1417179805 TOM, MARGARET R MEMPHIS TN
00124851 1649236811 TOMBAZZI, CLAUDIO R MD MEMPHIS TN
Jun 24, 2018 95 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
07153842 1467498899 TOMPKINS, RONALD W JASPER TN
06587343 1578959052 TOMSIC, MARTHA P MEMPHIS TN
07027533 1295186260 TONEY, BRANDON S APN MEMPHIS TN
00115953 1306951702 TONKIN, ALLEN MD GERMANTOWN TN
06155768 1114184298 TONKIN, KEITH A MD GERMANTOWN TN
00008855 1730318718 TORGBE, KWAME E MD MEMPHIS TN
01354379 1841610003 TOURVILLE, ELIZABETH MEMPHIS TN
00124098 1467532705 TOWBIN, JEFFREY A MD MEMPHIS TN
07107047 1669437182 TOWNSEND, ARTHUR M MD CORDOVA TN
02555034 1427411644 TRAN, JIMMY T MEMPHIS TN
04853892 1942587670 TRAVIS, AMANDA NP MEMPHIS TN
04457308 1811922545 TRIPLETT, BRANDON M MD MEMPHIS TN
07832276 1285080309 TRIPLETT, THOMAS M MEMPHIS TN
05587735 1174791784 TROTTER, LAKIEVA T FNP MEMPHIS TN
09938559 1619120532 TRUJILLO HUACCHO, LUIS MD MEMPHIS TN
03882025 1437135084 TSAO, JACK MD MEMPHIS TN
09855853 1073036232 TSAO, MIRIAM MD MEMPHIS TN
06055312 1144393273 TSIU, WILLIE MD MEMPHIS TN
07628897 1285044552 TUCKER, EDNA M CNM MEMPHIS TN
04553758 1659303444 TULI, MALIKA MD BARTLETT TN
00118793 1982607552 TUOMANEN, ELAINE I MD MEMPHSI TN
05157013 1841513173 TURCANU, DUMITRU S MD MEMPHIS TN
01487071 1689109217 TURNER, JAMES MEMPHIS TN
05172367 1528083706 TURNER, JAMES E MD BARTLETT TN
07085539 1407090889 TURNER, MARSHE D NP MEMPHIS TN
01827570 1821069733 TURNER, RUBY R NP GERMANTOWN TN
00114990 1518924851 TUTOR, JAMES D MD MEMPHIS TN
09379209 1407831985 TYSON, JANE F FNP GERMANTOWN TN
Jun 24, 2018 96 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08922039 1811494883 UDOKO, ANIEKANABASI N MEMPHIS TN
01727702 1326198003 UDUAGHAN, VICTOR A MD MEMPHIS TN
03330006 1457505323 UHLHORN, ALICE N FNP GERMANTOWN TN
07039841 1184917544 ULM, MICHAEL MD MEMPHIS TN
06085332 1104166016 UNJAKOTI, PREETHI J JASPER TN
08482031 1184935678 UPADHYAY, KIRTIKUMAR MD MEMPHIS TN
01054851 1770713786 UPADHYAYA, SANTHOSH A MD MEMPHIS TN
08736548 1619363421 URBAN, ALEXANDER E MEMPHIS TN
02675545 1891806659 USDAN, DAVID A MEMPHIS TN
00121233 1821054404 VADDADI, ARUNA K MD MEMPHIS TN
07888599 1578548376 VAENA, DANIEL A MD GERMANTOWN TN
08487730 1861576977 VAEZI, MICHAEL F MD NASHVILLE TN
07730266 1053840967 VAIDYA, ROHAN N MEMPHIS TN
04801008 1245248335 VALAULIKAR, GANPAT MD MEMPHIS TN
00539049 1508817719 VALDES, RAYMOND P MD MEMPHIS TN
03680362 1235665746 VAN ALLEN, CASEY S MD MEMPHIS TN
00118117 1477553170 VAN WYHE, GALEN G MD GERMANTOWN TN
01086875 1942256714 VAN ZYL, HEINRO MD NASHVILLE TN
04288221 1366452484 VANATTA, JASON M MD MEMPHIS TN
05151849 1326350521 VANCE, BRYAN A JASPER TN
09088867 1669907424 VANDERBURG, LAUREN N NP MEMPHIS TN
05008867 1669907424 VANDERBURG, LAUREN N NP MEMPHIS TN
09921733 1083801450 VANDERWALDE, ARI M MD MEMPHIS TN
02483050 1578788402 VANDERWALDE, LINDI H MD MEMPHIS TN
08408361 1285869362 VANDERWALDE, NOAM A MD MEMPHIS TN
00123495 1811969157 VANDEVEN, GREGORY E MD MEMPHIS TN
01138562 1891154530 VANHOOSE, THOMAS C MEMPHIS TN
08402562 1730407784 VANISON, CHRISTOPHER C MD GERMANTOWN TN
Jun 24, 2018 97 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
05180833 1831695030 VANLANDINGHAM, ALEX D O MEMPHIS TN
06108068 1083077333 VANVALKINBURGH, DANIEL H MEMPHIS TN
00111391 1053313049 VARNER, CLAUDE MD GERMANTOWN TN
09877869 1619321635 VARNER, FERRELL E MEMPHIS TN
09286764 1508355975 VASICHKO, PAULA MEMPHIS TN
02987015 1417900374 VASIREDDY, SAILENDRA MEMPHIS TN
00823246 1104182641 VAUGHAN, MICHAEL MD MEMPHIS TN
09424866 1689084865 VAUGHN, ALBERT R MD MEMPHIS TN
03922205 1962631341 VELAMURI, SAI RAMAKRISHNA MD MEMPHIS TN
09276272 1356575492 VELUSWAMY, HEMANTH R MD MEMPHIS TN
04531836 1679070569 VENNAM, VAMSI KRISHNA DO MEMPHIS TN
01988262 1659620417 VERMA, PRAKASH MD MEMPHIS TN
09654208 1699977926 VERMA, RAJANSHU MEMPHIS TN
03022354 1316496904 VERMA, SARA PA MEMPHIS TN
07159049 1518165729 VERRIER, CARMEL S MD GERMANTOWN TN
01306877 1457887945 VICKERS, MAGGIE W MEMPHIS TN
08022562 1205376712 VICTOR, GABRIELLE M NP MEMPHIS TN
00457534 1730403072 VIDAL, GREGORY A MD GERMANTOWN TN
01208314 1922064575 VIEIRA, FRANCISCO O MD MEMPHIS TN
00119090 1245387737 VIERON, LEONIDAS N MD MEMPHIS TN
00105021 1790281400 VILLARREAL, ERIC D MD MEMPHIS TN
03128813 1841424058 VINCENT, JEREMY G MD KNOXVILLE TN
00983861 1760611388 VINITSKY, ANNA MD MEMPHIS TN
00123049 1427276823 VIRK, EJAZ S MD MEMPHIS TN
09437360 1467891358 VITERI YAQUIAN, CARLOS E MEMPHIS TN
08989337 1629502265 VIZCARRA, ANDREW MD MEMPHIS TN
07776779 1316471717 VIZCARRA, TARA MD MEMPHIS TN
00122804 1124085485 VOELLER, GUY MD MEMPHIS TN
Jun 24, 2018 98 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
09736730 1356850283 VOGELFANGER, SARAH B APN MEMPHIS TN
00118962 1801811237 VOGT, VAL Y MD GERMANTOWN TN
00014701 1609892082 VON BUTTLAR, NORMAN MD MEMPHIS TN
02803250 1619263852 VONTELA, NAMRATHA R MD GERMANTOWN TN
00117025 1043258247 VU, LOI T MD MEMPHIS TN
03508265 1316356454 WADE-SMITH, DEANIE E NP GERMANTOWN TN
04359251 1851594121 WAGH, AJAY A MD MEMPHIS TN
01673755 1427582964 WAGLEY, NEILSON L DMD MEMPHIS TN
04328790 1417925447 WAHBA, MERVAT N MD MEMPHIS TN
00533051 1285759548 WAITE, AARON N MD MEMPHIS TN
00010307 1982661088 WAKE, ROBERT W MD MEMPHIS TN
09087529 1700091477 WALKER III, JAMES R MD MEMPHIS TN
08203559 1144360785 WALKER, CHARLES A PARIS TN
09107863 1295289049 WALKER, CRYSTAL M NP MEMPHIS TN
09683545 1578581617 WALKER, JAMES E MD MEMPHIS TN
05759783 1043682677 WALKER, JANET NP GERMANTOWN TN
08853856 1063811834 WALKER, KANDICE M NP GERMANTOWN TN
00122830 1457343394 WALKER, RAYMOND R MD MEMPHIS TN
09305381 1053846154 WALLACE, CHRISTINA PNP MEMPHIS TN
00824331 1992826358 WALLACE, DANYALE A MD MEMPHIS TN
09627560 1932473386 WALLACE, JASMIA N NP GERMANTOWN TN
00118676 1023075637 WALLACE, ROBERT D MD GERMANTOWN TN
00123207 1013974062 WALLER III, BENJAMIN R MD MEMPHIS TN
06185861 1750510905 WALLETT, SARAH M MD MEMPHIS TN
04926565 1275919581 WALLS, CARRIE P PA MEMPHIS TN
09336557 1346773116 WALSH, AARON MEMPHIS TN
00126955 1376519751 WALSH, JOHN T MD KNOXVILLE TN
00118480 1740220805 WALSH, PENNY J MD MEMPHIS TN
Jun 24, 2018 99 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00120431 1982602785 WALSH, WILLIAM K MD BARTLETT TN
07407302 1487867487 WALTERS, CYRILYN MD MEMPHIS TN
09404090 1720406945 WALTERS, JORDAN MEMPHIS TN
00112956 1801903737 WALZER, YAIR MD CORDOVA TN
00012791 1184724312 WANDERMAN, RICHARD G MD MEMPHIS TN
00126261 1619945532 WANG, JAMES J MD PH MEMPHIS TN
07904766 1568623973 WANG, JING MD MEMPHIS TN
09175857 1649626805 WANG, JOSEPH L MEMPHIS TN
04023769 1154533412 WANG, JUNFENG MD MEMPHIS TN
04054530 1235439480 WANG, LU MD MEMPHIS TN
05537237 1891798468 WANG, WINFRED C MD MEMPHIS TN
09237866 1548529209 WARD, CHAD DO MEMPHIS TN
00119939 1306804422 WARD, JEWELL MD PH MEMPHIS TN
08008878 1366797409 WARD, KELLEY L NP MEMPHIS TN
04730572 1144395120 WARD, SUZANNE FNP GERMANTOWN TN
00010076 1841287737 WARNER JR, WILLIAM C MD GERMANTOWN TN
07227874 1013941988 WARNER, DOUGLAS K JASPER TN
00116181 1952349151 WARNER, RONNIE M MD MEMPHIS TN
03225851 1407805567 WARR III, OTIS S MD MEMPHIS TN
00118450 1245289305 WARR, ALSTON MD GERMANTOWN TN
02071741 1699272468 WARREN, LADORIS L MD MEMPHIS TN
01535027 1184945289 WARREN, LISA W FNP-C MEMPHIS TN
02906317 1801010061 WASHINGTON, LATONYA B MD MEMPHIS TN
03535765 1891186912 WATKINS, JAIME G NP GERMANTOWN TN
08083071 1861847865 WATKINS, NICHOLAS MEMPHIS TN
06402209 1033119474 WATSON, ANDREW T MD GERMANTOWN TN
03605265 1275601346 WATSON, ANGELA D DO MEMPHIS TN
07985229 1699096313 WATSON, ESTELLA V MD COLLIERVILLE TN
Jun 24, 2018 100 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
03236397 1437317971 WATSON, KRISTEN V DO MEMPHIS TN
09988203 1659710531 WATSON, LASHUNDRA N MD MEMPHIS TN
03351822 1760822795 WATSON, NICHOLAS E MD MEMPHIS TN
00010142 1427122282 WATSON, WILLIAM B MD MEMPHIS TN
03306561 1518456805 WATT, MELANIE MD MEMPHIS TN
07332717 1760499388 WATTS, MARAH J ANP MEMPHIS TN
01270565 1255692224 WEATHERALL, TIMOTHY J MEMPHIS TN
00122549 1730406562 WEATHERFORD, BLAKELY MEMPHIS TN
05983874 1740605260 WEATHERSBY, SHANYTEL NP MEMPHIS TN
09989209 1407021389 WEATHERSPOON, SARAH E MD MEMPHIS TN
05025756 1427145549 WEAVER, KYLE D MD NASHVILLE TN
06305091 1588879845 WEBB JR, DAVID L MD MEMPHIS TN
07808865 1306112487 WEBER GUZMAN, JORGE MD MEMPHIS TN
00118861 1336147263 WEEKS, ALBERT E M.D. GERMANTOWN TN
06437514 1477793362 WEEMS, MARK F MD MEMPHIS TN
08556278 1477640597 WEINGER, MATTHEW B MD NASHVILLE TN
00113624 1922003037 WEINSTEIN, JOSEPH S M.D. MEMPHIS TN
00583292 1851413140 WEIR III, ALVA B MD GERMANTOWN TN
00125415 1700889730 WEISS, KENNETH S MD MEMPHIS TN
01182354 1770596314 WEISS, MARTIN J MD GERMANTOWN TN
08107361 1063428597 WEISS, MITCHELL J MD MEMPHIS TN
00123585 1285600890 WEISS, STEVEN J MD KNOXVILLE TN
03139875 1780803999 WEKSLER, BENNY MD MEMPHIS TN
07036836 1093159436 WELLS, DANIEL B MEMPHIS TN
03859899 1053754176 WELLS, DANIEL R M.D. MEMPHIS TN
08938810 1275889164 WELLS, KATHRYN V CNP GERMANTOWN TN
09858764 1386006575 WELLS, THOMAS B MEMPHIS TN
04526849 1114970084 WENER, STEVEN I MD GERMANTOWN TN
Jun 24, 2018 101 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00111782 1285720672 WESBERRY JR, JESSE M MD GERMANTOWN TN
00972246 1952707747 WEST, DEVIN M MEMPHIS TN
03154297 1184868945 WEST, MARGARET H MD MEMPHIS TN
00123577 1164414587 WEST, SHARON F APRN MEMPHIS TN
06851380 1073838983 WEST, SHAWN R MD MEMPHIS TN
07482248 1336526912 WESTEMEYER, HEATHER MEMPHIS TN
07877871 1245211275 WESTNEY, IRVING V MD GERMANTOWN TN
05385301 1023074010 WETZEL, GLENN T MD MEMPHIS TN
06070860 1780624882 WHARTON, DAVID R JASPER TN
04680711 1568791259 WHEAT MOSS, JACLYN I FNP MEMPHIS TN
00112469 1760415608 WHEELER III, BENTON M MD GERMANTOWN TN
04304211 1689993016 WHEELER, BRIAN J MD MEMPHIS TN
02329046 1245628148 WHEELER, ELIZABETH M PA GERMANTOWN TN
07224079 1659337855 WHELESS, JAMES W MD MEMPHIS TN
07425830 1699161117 WHERRY, HEATHER M MEMPHIS TN
00124334 1679530778 WHITAKER, TONI M MD MEMPHIS TN
06525551 1427508837 WHITAKER, WENDY C NP MEMPHIS TN
08672018 1558761148 WHITE, ATRICIA R FNP MEMPHIS TN
00858799 1184627192 WHITE, KATHY Y NP MEMPHIS TN
09673551 1427568260 WHITE, MIRANDA D FNP GERMANTOWN TN
03305769 1205974649 WHITLEY, MERIS M CFNP MEMPHIS TN
00259396 1588658173 WHITNEY, CAROLYN MD MEMPHIS TN
00326557 1326008236 WHITSON, MICHAEL L MD KNOXVILLE TN
00121034 1356317960 WHITTEN, ANA E MD KNOXVILLE TN
02724221 1699707638 WHITWORTH, JOHN R MD MEMPHIS TN
00871269 1154633857 WIEDOWER, ERIC R DO GERMANTOWN TN
04520877 1063676690 WILBOURN, RANCE B MD GERMANTOWN TN
08408254 1285869503 WILDS, NATHAN E MD MEMPHIS TN
Jun 24, 2018 102 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
08484754 1629431226 WILES, SARA E NP-C GERMANTOWN TN
03070723 1184833188 WILKERSON, BENJAMIN W MD MEMPHIS TN
03372531 1760440648 WILLIAMS CLEAVES, BEVERLY J MD MEMPHIS TN
09852391 1407115579 WILLIAMS, ALLYSON B FPMHN MEMPHIS TN
03576252 1386096279 WILLIAMS, AMANDA L CNM MEMPHIS TN
02026321 1366779704 WILLIAMS, ANGELA P NP MEMPHIS TN
00306031 1588160980 WILLIAMS, BRITNEY N MD MEMPHIS TN
05035331 1174971550 WILLIAMS, BRITTANY M NP MEMPHIS TN
09327262 1407374002 WILLIAMS, CHARLES B FNP GERMANTOWN TN
00010173 1598756835 WILLIAMS, GLENN J MD MEMPHIS TN
03557880 1013238054 WILLIAMS, JASON G MD GERMANTOWN TN
01971304 1124044482 WILLIAMS, JEFFREY L MD MEMPHIS TN
07278071 1194119503 WILLIAMS, MAEGAN N MEMPHIS TN
06557323 1669912127 WILLIAMS, MARQUITA NP GERMANTOWN TN
03422707 1639392400 WILLIAMS, REGAN F MD MEMPHIS TN
00307734 1710498837 WILLIAMS, SARAH FNP MEMPHIS TN
08681725 1851815542 WILLIAMSON, MELINDA J MEMPHIS TN
00281014 1205353224 WILLIFORD, ASHLEY APN MEMPHIS TN
09275066 1295876621 WILLIS, ADAM P MEMPHIS TN
00500367 1487109773 WILLIS, JENA P NP GERMANTOWN TN
05276251 1528300431 WILLIS, KENT MEMPHIS TN
03288054 1528455821 WILLIS, MALIA D MEMPHIS TN
01079084 1306804257 WILNER, ANDREW N MD MEMPHIS TN
00016971 1710983259 WILONS, MICHAEL D MD MEMPHIS TN
04208265 1710397260 WILSON, AMY K NP MEMPHIS TN
01350247 1427085182 WILSON, JAMES A MEMPHIS TN
02338371 1225415474 WILSON, JESSICA T MEMPHIS TN
04208876 1639533953 WILSON, MARY NP MEMPHIS TN
Jun 24, 2018 103 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
00120854 1104883701 WILSON, MATTHEW W MD MEMPHIS TN
00008865 1588018725 WILSON, SARAH MEMPHIS TN
02628072 1386060929 WILSON, STEPHANIE A NP MEMPHIS TN
07558585 1255516712 WINFREY, YOLANDA M NP GERMANTOWN TN
09727820 1578724639 WING, AIMEE J MD MEMPHIS TN
05678360 1942655097 WISE, AUSTIN J MEMPHIS TN
07420394 1376632364 WISE, JOHN A PA MEMPHIS TN
03087863 1831545086 WISE, MARY F MEMPHIS TN
01036762 1023508249 WISNIEWSKI, SCOTT N MEMPHIS TN
00115955 1982707410 WITTE, DEXTER MD GERMANTOWN TN
00126930 1750368437 WODOWSKI, KAREN S NP MEMPHIS TN
00118754 1366486821 WOLF, BRADLEY A MD MEMPHIS TN
00359564 1104173384 WOLF, JOSHUA MD MEMPHIS TN
00933575 1114098043 WOLFORD, DAVID C MD GERMANTOWN TN
00119457 1336106368 WOMACK, CATHERINE R MD GERMANTOWN TN
06058281 1699185702 WOMACK, MICHAEL MD MEMPHIS TN
03488058 1891115945 WONG, BRIAN MD MEMPHIS TN
05971315 1023432549 WONG, CAROLYN M NP GERMANTOWN TN
05275758 1174815997 WONG, XIXI MD MEMPHIS TN
03758750 1649561994 WOOD, JOSHUA W MD MEMPHIS TN
00125400 1740242676 WOODALL, DIANE L MD GERMANTOWN TN
04921504 1750343190 WOODCOCK, LISA M MEMPHIS TN
02826771 1184616989 WOODLIEF, NORMAN F MD MEMPHIS TN
01079090 1134346430 WOODMANSEE, COURTNEY S MD MEMPHIS TN
07236363 1134151509 WOODS, CAROLYN MD MEMPHIS TN
03081818 1073559753 WOODS, KELLY W MD NASHVILLE TN
00407569 1720039761 WOODS, TIMOTHY D MD GERMANTOWN TN
05221228 1003291683 WORSHAM, CARRIE NP BARTLETT TN
Jun 24, 2018 104 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02050041 1326082785 WORTHAM, GEORGE F MEMPHIS TN
08422512 1225478688 WOZNY, MICHAEL A MD MEMPHIS TN
01631368 1104034750 WRAY, SARAH E CPNP NASHVILLE TN
00707819 1932108859 WRIGHT JR, HARVEY B MD MEMPHIS TN
00180896 1619237880 WRIGHT, ALICIA MD MEMPHIS TN
07935233 1619400710 WRIGHT, ASHLEY DO MEMPHIS TN
00820845 1801392469 WRIGHT, CHRISTOPHER MEMPHIS TN
00114521 1801897053 WRIGHT, DANA J MD GERMANTOWN TN
09438061 1235179177 WRIGHT, JEFFREY G MD MEMPHIS TN
05489549 1053817189 WRIGHT, ROBERT M MD MEMPHIS TN
00627856 1548794217 WRIGHT, SUSIE B M.D. MEMPHIS TN
03524767 1508995390 WRIGHT, TERESA S MD MEMPHIS TN
02857748 1952832867 WRIGHT, TIFFANY APN MEMPHIS TN
00122805 1689675399 WRIGHT, TONY L GERMANTOWN TN
05876878 1609321827 WROBLEWSKI, SHERRIE NP MEMPHIS TN
04479265 1922024280 WU, BO MD MEMPHIS TN
06781340 1134462666 WYNN, ANNE MEMPHIS TN
03506049 1558348235 WYNN, LYNN W RN MEMPHIS TN
07224044 1720512411 XIE, CHARLIES L MD MEMPHIS TN
00406221 1477591147 YABUT, EDMOND P MD MEMPHIS TN
08921529 1073022133 YAGHINI, FARIBORZ A NP MEMPHIS TN
07233220 1518497825 YAHYA, OWAIS MEMPHIS TN
04728256 1801858782 YALAMANCHILI, RAMESH MD MEMPHIS TN
06320580 1013390467 YANCEY, JUSTIN L MEMPHIS TN
08879792 1972747087 YAUN, JASON MD MEMPHIS TN
03306398 1942538335 YEDLAPATI, NEERAJA MD MEMPHIS TN
09734273 1013055482 YELLIOTT II, GRANT A JASPER TN
02809063 1821443920 YEUNG, DENISE MEMPHIS TN
Jun 24, 2018 105 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
04154700 1386824290 YOHANNAN, THOMAS M MD MEMPHIS TN
04482746 1902856511 YORK, KRISTA MD MEMPHIS TN
04552507 1497063044 YOUNG, ALISON NP MEMPHIS TN
01575895 1073513008 YOUNG, LISA J MD GERMANTOWN TN
04482234 1508393901 YOUNG, THOMAS B DO MEMPHIS TN
07037721 1588996995 YOUNGHALE, KAREN DO NASHVILLE TN
03571351 1548425622 YUSUF, JAWAWAD MD MEMPHIS TN
00884066 1871932954 ZACHARY, MATTHEW C MD MEMPHIS TN
01156292 1891768222 ZADA, YASIN MD MEMPHIS TN
07422298 1841370475 ZAFARULLAH, HARIS MD MEMPHIS TN
02358336 1841503059 ZAHR, RIMA S DO MEMPHIS TN
01951369 1598977100 ZAIDI, AMNA A MD MEMPHIS TN
07508203 1164634838 ZAIDI, SYED J MD MEMPHIS TN
02806837 1063806446 ZAKAI, YUSHA MEMPHIS TN
08101372 1144459645 ZALAMEA, NIA N MD MEMPHIS TN
08033702 1235269705 ZAMAN, KAZI A MD MEMPHIS TN
02978702 1184086308 ZANI, KATHLEEN MEMPHIS TN
09005557 1326326075 ZAVERI, PARUL G MD MEMPHIS TN
09124795 1003236837 ZEEMAN, MARTHINUS MD MEMPHIS TN
05021040 1982719381 ZENI, PHILLIP T MD GERMANTOWN TN
01676592 1629106281 ZHANG, JIE MD MEMPHIS TN
04057270 1710277678 ZHANG, LING MD CORDOVA TN
09055515 1174047096 ZHANG, LIWEN PA MEMPHIS TN
01807747 1154828903 ZHANG, NAIXIN MD MEMPHIS TN
08902556 1184984619 ZHENG, YAN MD PH MEMPHIS TN
07650333 1356513394 ZHOU, FANG MD MEMPHIS TN
07371744 1205047727 ZHUGE, YING MD MEMPHIS TN
06408588 1669979209 ZIMMERMAN, GLADYS S MEMPHIS TN
Jun 24, 2018 106 11:10:49 AM
Report: RP129
Envision Mississippi Division of MedicaidProvider Subsystem
PRESCRIBING PROVIDER LISTING
FOR THE STATE OF TENNESSEE Run Date: 6/24/2018Run Time: 11:10 AM
PROVIDER ID NPI PROVIDER NAME CITY STATE
02006001 1225078157 ZIOLKOWSKI, TIMOTHY J JASPER TN
07637233 1801020342 ZOBELL, DANIEL D MD MEMPHIS TN
02179302 1306856851 ZOGHBI, GILBERT J MD SOUTHAVEN TN
Jun 24, 2018 107 11:10:49 AM
Recommended