Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457369829 Deactivated / Inactive NPI Male Practitioner

Dr. Ted S Strom , MD, PhD

Specialist • Memphis, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ted Strom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2006
NPI Deactivation Date October 21, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Strom, MD, PhD was a registered Specialist practicing in Memphis, TN. Throughout an active medical career spanning 13 years, Dr. Strom provided care at the practice location at 1030 JEFFERSON AVE until profile deactivation on 2019-10-21.

Practice Location & Contact Primary Location

Practice Address

1030 Jefferson Ave

Memphis, TN 381042127

Telephone 9015238990
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1760420426

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.1 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
98 Specialists

Practicing in Memphis, TN (784 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD0000030552

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Deborah Kartheiser , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003075268

Registered Nurse

Kenyetta Mcintosh-Jones , LCSW

Social Worker - Clinical

NPI 1003139635

Licensed Clinical Social Worker

NPI 1003195074

Doctor of Pharmacy (Pharm.D.)

Penelope Bland

Pharmacist

NPI 1003287335
Maxwell Mcclure , PT

Physical Medicine & Rehabilitation

NPI 1003501990

Physical Therapist

Martine Johnson , LMSW

Social Worker - Clinical

NPI 1003526823

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 21, 2019

Record deactivated on October 21, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1030 JEFFERSON AVE, MEMPHIS, TN 381042127 (Tel: 9015238990)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2917 RICH HILL CV, GERMANTOWN, TN 381387033 (Tel: 9015238990)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TED STROM, MD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD0000030552 in TN)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ted Strom. Be the first to share your experience!

Sign in to leave a review for Dr. Ted Strom

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457369829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: July 08, 2007
Deactivation Date: October 21, 2019

Mailing Address

2917 Rich Hill Cv

Germantown, TN 381387033

Phone: 9015238990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.