Healthcare Provider Details

I. General information

NPI: 1013463694
Provider Name (Legal Business Name): TITAN ORTHOPEDICS OF MEMPHIS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 RIDGE LAKE BLVD SUITE 103
MEMPHIS TN
38120-9475
US

IV. Provider business mailing address

206 OXFORD RD
NEW ALBANY MS
38652
US

V. Phone/Fax

Practice location:
  • Phone: 662-534-2227
  • Fax: 662-534-5542
Mailing address:
  • Phone: 662-534-2227
  • Fax: 662-534-5542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number28565
License Number StateTN

VIII. Authorized Official

Name: JOHN JOSEPH LOCHEMES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 901-337-1592