Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 20296 | TN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 20296 | TN |
NPI | 1114920246 |
---|---|
Provider Name | William Dean Jameson |
First Address | Memphis, TN 38119-5742 |
Second Address | Memphis, TN 38120-4023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000001062 | TLC (01) | TN |
007238527 | (05) | MS |
110318002 | (05) | AR |
117286001 | (05) | AR |
200022156 | RAILROAD MEDICARE (01) | TN |
2675407 | CIGNA (01) | TN |
3037120 | BCBS (01) | TN |
3051593 | (05) | TN |
3371161 | (05) | TN |
4110755 | AETNA (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
620819926 | TRICARE (01) | TN |
7187860 | (05) | MS |
B65502 | (02) | TN |