Provider Demographics
NPI:1235140211
Name:SAENZ, JAY M (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:M
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 PRIMACY PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5742
Mailing Address - Country:US
Mailing Address - Phone:901-725-8347
Mailing Address - Fax:901-259-7637
Practice Address - Street 1:1244 PRIMACY PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0201
Practice Address - Country:US
Practice Address - Phone:901-767-8662
Practice Address - Fax:901-767-8666
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39775207X00000X, 207XX0005X
ARE-7799207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07187860Medicaid
TN620819926OtherCIGNA
TN00002576794 07OtherUNITED HEALTHCARE
TN3334008Medicaid
TN4179730OtherBCBS
MS1856384Medicaid
TN3371161Medicaid
TN8461897OtherCIGNA
TN620819926OtherAETNA
TN7733775OtherAETNA
TNP00624368OtherRAILROAD MEDICARE
TN0723280002Medicare NSC
TNI40761Medicare UPIN
TN3371161Medicare PIN
TN4179730OtherBCBS
TNP00624368OtherRAILROAD MEDICARE
TN3334008Medicaid