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Dr. Jonathan J Ellichman, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Memphis, Tennessee
NPI 1073538823

Jonathan J Ellichman is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Memphis, TN. Jonathan J Ellichman practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Jonathan J Ellichman is 1073538823 and holds a License No. 18972 (Tennessee).

The current practice location address for Jonathan J Ellichman is 6401 Poplar Ave Ste 410, Memphis, TN and can be reached out via phone at 901-259-2718 and via fax at 901-259-1123. You can also correspond with Jonathan J Ellichman through the mailing address at 1779 KIRBY PKWY # 1-511, MEMPHIS, TN - 38138-3666 (mailing address contact number: 901-371-5218).

Location: 6401 Poplar Ave Ste 410, Memphis, TN, 38138-3666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073538823
Provider Name
Jonathan J Ellichman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6401 Poplar Ave Ste 410, Memphis, TN, 38138-3666
Phone Number
901-259-2718
Fax Number
901-259-1123
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30005342 05 TN
165449001 05 AR
06336753 05 MS
institution
Provider Business Practice Location Address Details
Address
6401 Poplar Ave Ste 410
City
Memphis
State
Tennessee
Zip
38119-4808
Phone Number
901-259-2718
Fax Number
901-259-1123
person
Provider Business Mailing Address Details
Address
6401 Poplar Ave Ste 410
City
Memphis
State
Tennessee
Zip
38119-4808
Phone Number
901-259-2718
Fax Number
901-259-1123
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
39618 (Tennessee)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
18972 (Mississippi)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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