MEMPHIS CARDIOVASCULAR CENTER (NPI# 1063873909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063873909 |
| Entity Type | Organization |
| Organization Name | MEMPHIS CARDIOVASCULAR CENTER |
| Practice Address |
6799 Great Oaks Rd Suite 100 Memphis TN 38138-2588 |
| Practice Telephone | 9017510405 |
| Practice Fax Number | 9017519694 |
| Mailing Telephone | 9017510405 |
| Mailing Fax Number | 9017519694 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | SARA ELIZABETH WILES (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9017510405 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
6799 GREAT OAKS RD SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38138-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168008 | Juan Carlos Salazar | Dentist | 6799 Great Oaks Rd, Suite 201, Memphis, TN 38138-2508 | 2005-10-18 |
| 1740741990 | Halie Dawne Stephens | Nurse Practitioner | 6799 Great Oaks Rd, Memphis, TN 38138-2588 | 2019-03-29 |
| 1083164842 | Shivani Parsottm | Physician Assistant | 6799 Great Oaks Rd, 100, Memphis, TN 38138-2588 | 2016-10-05 |
| 1679962765 | Brianna Campbell | Nurse Practitioner | 6799 Great Oaks Rd, Suite 250, Memphis, TN 38138-2588 | 2015-01-13 |
| 1245648716 | Alison Rose Berger | Nurse Practitioner | 6799 Great Oaks Rd, Suite 250, Memphis, TN 38138-2584 | 2014-07-29 |
| 1508027491 | Consolidated Medical Practices of Memphis,pllc | Prosthetic/Orthotic Supplier | 6799 Great Oaks Rd, Memphis, TN 38138-2588 | 2008-06-23 |
| 1104033984 | Cindy Katz | Nurse Practitioner | 6799 Great Oaks Rd, 250, Memphis, TN 38138-2588 | 2007-05-17 |
| 1891848560 | Tara C Holt | Nurse Practitioner | 6799 Great Oaks Rd, Suite 250, Memphis, TN 38138-2588 | 2007-01-18 |
| 1528131414 | Jose Luis Salazar | Dentist | 6799 Great Oaks Rd, Suite 201, Memphis, TN 38138 | 2006-11-16 |
| 1164530911 | Derene Ellen Akins | Internal Medicine | 6799 Great Oaks Rd, Suite 250, Memphis, TN 38138-2588 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
| 1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
| 1255607164 | Dmitry M Yaranov | Internal Medicine | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2012-03-25 |
| 1699908038 | Roger Jones Cunningham | Internal Medicine | 203 E Parkway S, Memphis, TN 38104-4341 | 2009-09-02 |
| 1699948281 | Adedayo Ademola Adeboye | Internal Medicine | 1030 Jefferson Ave, Vamc, Medical Service-cardiology, Memphis, TN 38104 | 2008-04-04 |
| 1881890614 | D Bruce Wilson Md, PC | Internal Medicine | 188 S Bellevue Blvd, #405, Memphis, TN 38104-3416 | 2007-06-27 |
| 1629281712 | Saxton Heart Clinic PC | Internal Medicine | 6055 Primacy Pkwy Ste 125, Memphis, TN 38119-5701 | 2007-05-07 |
| 1417001223 | David L. Simmons, Md, PC - Cardiovascular Services | Internal Medicine | 202 Greenbriar Dr, Memphis, TN 38117-3237 | 2007-01-22 |
| 1720187040 | Jesse E Mcgee | Internal Medicine | 4567 Millbranch Road, Memphis, TN 38116 | 2006-09-22 |
| 1326156100 | Stewart Lewis Nunn | Internal Medicine | 706 Cypress Dr, Memphis, TN 38112-1738 | 2006-08-29 |
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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.