DR. LISA SUZANNE USDAN (NPI# 1053597674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053597674 |
| Entity Type | Individual |
| Full Name | DR. LISA SUZANNE USDAN |
| Credential | M.D. |
| Practice Address |
6401 Poplar Ave, Suite 420 Memphis TN 38120 |
| Mailing Address |
6401 Poplar Ave, Suite 420 Memphis TN 38119 |
| Practice Telephone | 9018431045 |
| Practice Fax Number | 9018431206 |
| Mailing Telephone | 9018431045 |
| Mailing Fax Number | 9018431206 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 43169 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 234654 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0000043169 | TN | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
43169 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
6401 POPLAR AVE, SUITE 420 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953956 | Endo 247 LLC | Internal Medicine | 5220 Park Ave Ste 202, Memphis, TN 38119-3549 | 2020-05-15 |
| 1063924280 | Hughes Endocrinology LLC | Internal Medicine | 6005 Park Ave Ste 305, Memphis, TN 38119-5213 | 2017-10-27 |
| 1295925840 | Saba Khayal | Internal Medicine | 6401 Poplar Ave Ste 400, Memphis, TN 38119-4806 | 2007-07-30 |
| 1891806238 | Sonia Guerra | Internal Medicine | 6005 Park Ave Ste 902, Memphis, TN 38119-5219 | 2006-08-31 |
| 1770556268 | John P Tetzeli | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2006-02-07 |
| 1629621198 | Value Global Medical Services LLC | Internal Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2019-07-23 |
| 1568971232 | Mason Gindt | Internal Medicine | 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 | 2017-09-26 |
| 1033552492 | Deirdre Jocelyn James | Internal Medicine | University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001 | 2013-04-16 |
| 1134462666 | Anne Briton Craddock Wynn | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2013-04-03 |
| 1629331079 | Fariha Salman | Internal Medicine | 5659 S Rex Rd, Memphis, TN 38119-3821 | 2012-06-20 |
| 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.