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UT MEDICAL GROUP, INC.
NPI 1336643121
Podiatrist in Memphis, TN

Active since March 19, 2018
1068 CRESTHAVEN RD STE 110, MEMPHIS, TN 38119(901) 767-5620(901) 763-4326 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Jul 24, 2019, Mar 19, 2018 (3 updates tracked since 2018).

About Ut Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UT MEDICAL GROUP, INC. (NPI 1336643121) is a healthcare organization registered as a podiatrist in Memphis, Tennessee and active in the NPI registry since March 2018. The organization lists Courtney Love, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1336643121
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameUT MEDICAL GROUP, INC.
Location Address1068 CRESTHAVEN RD STE 110Memphis, TN 38119-0845
Mailing AddressDept #93, Po Box 1000Memphis, TN 38148-0093 · (901) 866-8205 · Fax (901) 302-2120
Phone(901) 767-5620
Fax(901) 763-4326
Organization SubpartYes
Authorized OfficialCourtney LoveChief Operations Officer · (901) 866-8105
Enumeration DateMarch 19, 2018
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1336643121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1068 CRESTHAVEN RD STE 110, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN NORMAN KIEL D.P.M.
Podiatrist (Foot Surgery)
1068 CRESTHAVEN RD STE 110
MEMPHIS, TN 38119
Shelby County (901) 767-5620
DAVID MICHAEL MOINESTER D.P.M.
Podiatrist (Foot Surgery)
1068 CRESTHAVEN RD STE 110
MEMPHIS, TN 38119
Shelby County (901) 767-5620
JOEL JAVIER CARDONA DPM
Podiatrist (Foot & Ankle Surgery)
1068 CRESTHAVEN RD STE 110
MEMPHIS, TN 38119
Shelby County (901) 767-5620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ut Medical Group, Inc.'s NPI number?

The NPI number for Ut Medical Group, Inc. is 1336643121. It was assigned to this organization in the NPPES registry on March 19, 2018.

Where is Ut Medical Group, Inc. located?

Ut Medical Group, Inc. is located at 1068 Cresthaven Rd Ste 110, Memphis, TN 38119. The listed phone number is (901) 767-5620.

What is Ut Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Ut Medical Group, Inc. was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.