Provider Demographics
NPI:1477521037
Name:FILCHOCK, JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:FILCHOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5905
Mailing Address - Country:US
Mailing Address - Phone:901-260-8500
Mailing Address - Fax:901-260-8598
Practice Address - Street 1:969 FRAYSER BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-5977
Practice Address - Country:US
Practice Address - Phone:901-701-2540
Practice Address - Fax:901-271-6249
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN013475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN602003026OtherCARITEN
TN100010382OtherPHP TNCARE
TN4034566OtherAETNA
TNTN0135OtherUHC/JD
TN3889614Medicaid
TN1718353OtherCIGNA
TN3704598Medicaid
TNP00104599OtherMEDICARE - RAILROAD
TN4076651OtherBCBS
TN3704598Medicaid
TNB04433Medicare UPIN
TN4076651OtherBCBS
TN3889614Medicaid
TN3704598Medicare PIN