CLINIC LLC (NPI# 1033604574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033604574 |
| Entity Type | Organization |
| Organization Name | CLINIC LLC |
| Practice Address |
3393 Kirby Rd Memphis TN 38115-4253 |
| Mailing Address |
1011 W Poplar Ave Ste 5 Collierville TN 38017-2577 |
| Practice Telephone | 9015420864 |
| Mailing Telephone | 9016079064 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DAVID CONNER (OWNER) |
| Authorized Official Telephone | 9012709145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CLINIC LLC | 40 Wall St / #31b, New York, Ny 10005 |
| Virginia Business Entities | Clinic LLC | 1754 Albermarle Dr, Crofton, Maryland 21114 |
| Street Address |
3393 KIRBY RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557220 | The Conner T Medical Group Pllc | Clinic/Center | 3393 Kirby Rd, Memphis, TN 38115-4253 | 2018-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942609045 | Midsouth Neuropathy Treatment Center | General Practice | 1052 Brookfield Rd, Suite 101, Memphis, TN 38119-3860 | 2014-08-14 |
| 1528488699 | Sheg Oluwaseun Aranmolate | General Practice | 1926 Foster Ave, Memphis, TN 38114-2003 | 2014-04-16 |
| 1538588827 | Chs Tennessee Medical, P.C. | General Practice | 4740 Burbank Rd, Memphis, TN 38118-6301 | 2014-04-15 |
| 1629493424 | Maximum Health and Wellness LLC | General Practice | 6094 Apple Tree Dr, Suite 6, Memphis, TN 38115-0308 | 2014-03-03 |
| 1497064653 | Wellness Evaluation Services, Inc | General Practice | 1061 W Rex Rd, Memphis, TN 38119-3819 | 2010-10-05 |
| 1861719445 | Total Heatlh Care | General Practice | 4299 Elvis Presley B;vd., Memphis, TN 38116-6435 | 2010-04-22 |
| 1508038910 | F Chin, Inc | General Practice | 5347 Dunnellon Ave, Memphis, TN 38134-5305 | 2008-03-25 |
| 1295863488 | Daniel P Marshall | General Practice | 515 N Highland St, Memphis, TN 38122-4572 | 2007-03-01 |
| 1891842696 | John Goodfred | General Practice | 3965 S Mendenhall Rd Ste 6, Memphis, TN 38115-5914 | 2007-01-04 |
| 1013004324 | Mark L Reed | General Practice | 3789 Covington Pike, Memphis, TN 38135-2279 | 2006-10-06 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.