LUNCEFORD FAMILY HEALTH CENTER (NPI# 1164511515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164511515 |
Entity Type | Organization |
Organization Name | LUNCEFORD FAMILY HEALTH CENTER |
Practice Address |
1920 Kirby Pkwy Suite 100 Germantown TN 38138-3610 |
Practice Telephone | 9017519909 |
Practice Fax Number | 9017510455 |
Mailing Telephone | 9017519909 |
Mailing Fax Number | 9017510455 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TRAVIS E LUNCEFORD (PRESIDENT) |
Authorized Official Telephone | 9017919909 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | TN | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
Street Address |
1920 KIRBY PKWY SUITE 100 |
City | GERMANTOWN |
State | TN |
Zip Code | 38138-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881672152 | Hugo A. Caballero | Family Medicine | 1920 Kirby Pkwy, Suite 202, Germantown, TN 38138-3610 | 2006-01-05 |
1013330141 | Erin Dickerson | Clinical Nurse Specialist | 1920 Kirby Pkwy, Ste 202, Germantown, TN 38138-3696 | 2014-01-24 |
1497181937 | Wendy Remmers | Registered Nurse | 1920 Kirby Pkwy, Suite 202, Germantown, TN 38138-3696 | 2013-09-16 |
1316386121 | Getz Internal and Behavioral Services, LLC | Nurse Practitioner | 1920 Kirby Pkwy, Suite 102, Germantown, TN 38138-3696 | 2013-06-14 |
1942587670 | Amanda Jill Travis | Nurse Practitioner | 1920 Kirby Pkwy, Suite 100, Germantown, TN 38138-3696 | 2011-11-09 |
1326218868 | Pediatric Urology Associates of The Mid-south, P.C. | Clinic/Center | 1920 Kirby Pkwy, Suite 100, Germantown, TN 38138-3696 | 2008-03-11 |
1346430469 | Caballero Family Healthcare Group Pllc | General Practice | 1920 Kirby Pkwy, #202, Germantown, TN 38138-3696 | 2007-07-25 |
1306901012 | Gerald Ray Jerkins | Specialist | 1920 Kirby Pkwy, Suite 102, Germantown, TN 38138-3610 | 2006-12-22 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548653124 | Holy Cross Health Center | Clinic/Center | 12800 Middlebrook Rd # Rzd, 206, Germantown, MD 20874-5204 | 2015-03-06 |
1780009399 | Frayser Medical Center | Clinic/Center | 9349 Parkgate Dr, Germantown, TN 38139-3599 | 2014-02-19 |
1023380961 | Biomechaniks, LLC | Clinic/Center | 3100 Village Shops Dr, Germantown, TN 38138-7900 | 2012-02-08 |
1871065227 | Dr. Kate's Brain Expedition for Excellence | Clinic/Center | N112w16076 Mequon Rd Ste A2, Germantown, WI 53022-3333 | 2018-12-26 |
1386194843 | Mcculley Allergy Sinus & Asthma | Clinic/Center | 2155 West St, Germantown, TN 38138-3856 | 2016-10-09 |
1447558606 | Trawhs LLC | Clinic/Center | 7800 Wolf Trail Cv, Germantown, TN 38138-1753 | 2011-03-11 |
1689972978 | Tratsc LLC | Clinic/Center | 7705 Poplar Ave, 310 B, Germantown, TN 38138-3930 | 2011-03-10 |
1366621641 | Kenneth A Piering Dc PC | Clinic/Center | 12401 Middlebrook Rd, #190, Germantown, MD 20874-1525 | 2007-11-02 |
1841479094 | Progressive Chiropractic, S.c. | Clinic/Center | N112w15800 Mequon Rd, Germantown, WI 53022-3389 | 2007-10-24 |
1225245814 | Yukon Clinic | Clinic/Center | 1355 W Brierbrook Rd, Germantown, TN 38138-2208 | 2007-05-16 |
Find all providers in GERMANTOWN |
City | GERMANTOWN |
Zip Code | 38138 |
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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.