DR. RYAN S RAHMAN (NPI# 1053673509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053673509 |
| Entity Type | Individual |
| Full Name | DR. RYAN S RAHMAN |
| Credential | M.D. |
| Practice Address |
1301 Primacy Pkwy Memphis TN 38119 |
| Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
| Practice Telephone | 9018668812 |
| Practice Fax Number | 9014480404 |
| Mailing Telephone | 9018668622 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 53997 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q038592 | 05 | |
| MS | 08855093 | 05 | |
| MO | 1053673509 | 05 | |
| AR | 230369001 | 05 |
| Street Address |
1301 PRIMACY PKWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686170 | University of Tennessee | Family Medicine | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2005-08-15 |
| 1720617616 | Carol Yvette Harden | Student in an Organized Health Care Education/Training Program | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2020-04-03 |
| 1316502693 | Joshua Rogers | Student in an Organized Health Care Education/Training Program | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2019-05-02 |
| 1962908343 | Derek Logan Crouthers | Student in an Organized Health Care Education/Training Program | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2018-04-04 |
| 1497277081 | Elizabeth Scheffel | Pharmacist | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2017-07-14 |
| 1972042653 | Amy W Harkness | Physician Assistant | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2017-02-15 |
| 1124470430 | Ahyoung Byun | Pharmacist | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2016-07-11 |
| 1598152522 | Christine Lamey | Family Medicine | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2015-04-16 |
| 1356731459 | Amanda Howard-thompson | Pharmacist | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2015-01-27 |
| 1083016844 | Karen Carver | Registered Nurse | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1508496829 | Courtney Cordo | Family Medicine | 5901 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7328 | 2020-01-26 |
| 1801431499 | Geriatric and Hospice Associates of The Mid South Pllc | Family Medicine | 6025 Walnut Grove Rd Ste 317, Memphis, TN 38120-2131 | 2019-11-07 |
| 1831627280 | Humanity LLC | Family Medicine | 451 S Perkins Rd Apt 2, Memphis, TN 38117-3952 | 2017-05-30 |
| 1366979098 | Cross Medical Primary Care | Family Medicine | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1619403870 | Cross Medical Primary Care | Family Medicine | 6222 East Shelby Drive, Memphis, TN 38141 | 2017-05-10 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 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.