GUSTAVO ADOLFO TANGARIFE SR.


Address: 2193 Morning Vista Dr, Memphis, TN 38134-6018
Phone: 9012838047

GUSTAVO ADOLFO TANGARIFE SR. (NPI# 1174137525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174137525
Entity Type Individual
Full Name GUSTAVO ADOLFO TANGARIFE SR.
Credential PA
Practice Address 2193 Morning Vista Dr
Memphis
TN 38134-6018
Practice Telephone 9012838047
Mailing Telephone 9012838047
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 000663-PA PR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2193 MORNING VISTA DR
City MEMPHIS
State TN
Zip Code 38134-6018

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NPI Name Taxonomy Address Enumeration
1841839313 Tiffany Catrell Williams Technician 5312 Yellowood Road, Memphis, TN 38134 2020-01-02
1225676489 Sandra Kay Branch Technician 2010 Joe Brooks Dr, Memphis, TN 38134 2019-12-18
1780151092 Stephen R Hadley Pharmacist 3090 Kirby Whitten Rd, Bartlett, TN 38134 2018-10-25
1760962450 Delta Transportation Services Non-emergency Medical Transport (VAN) 2856 Alfaree St, Bartlett, TN 38134 2018-08-21
1013409853 Chosen Vessel Ministries Clinic/Center 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 2018-06-06
1710495858 Lifetech Ambulance, LLC Ambulance 2874 Shelby St Ste 150, Bartlett, TN 38134 2018-01-10
1144744459 Robin Coughlin Counselor 6553 Honeybrook Rd., Memphis, TN 38134 2017-07-28
1174047484 Shannon Eric Overley Behavioral Analyst 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 2017-07-28
1063881928 Nursing Solutions Nursing Care 4311 Fiske Valley Drive, Memphis, TN 38134 2015-09-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737354 Adrienne Smith Physician Assistant 5200 Park Ave Ste 100, Memphis, TN 38119-3505 2020-10-12
1134734817 Siushan Tang Vuong Physician Assistant 102 Clark Pl Apt S, Memphis, TN 38104-2419 2020-09-10
1053949586 Michella Glenna Douglas Physician Assistant 3911 Oak Branch Cir W, Memphis, TN 38135-0213 2020-03-30
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1306480868 Lauren Blum Physician Assistant 100 S Greer St, Memphis, TN 38111-3429 2019-10-28
1487135463 Baron Surgical, Pllc Physician Assistant 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 2018-08-27
1083139265 Huda Alaeddin Physician Assistant 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 2017-08-08
1982076246 Richard Randolph Physician Assistant 1094 River Isle Dr, Memphis, TN 38103-8870 2015-10-27
1962870808 Sophia Garrison Physician Assistant 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 2015-09-09
1952778276 Jose Carrion Physician Assistant 493 Dr M L King Jr Ave, Memphis, TN 38126-3812 2015-08-24
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Competitor

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City MEMPHIS
Zip Code 38134

Improve Information

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Dataset Information

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.

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