Provider Demographics
NPI:1144463431
Name:ENGLISH, JONATHAN TYLER (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:TYLER
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 STONEWALL ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-5115
Mailing Address - Country:US
Mailing Address - Phone:901-581-6087
Mailing Address - Fax:901-274-5224
Practice Address - Street 1:407 STONEWALL ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-5115
Practice Address - Country:US
Practice Address - Phone:901-278-6963
Practice Address - Fax:901-274-5224
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN46447207PE0004X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services