LARRY GIDEON, M D (NPI# 1255533386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255533386 |
Entity Type | Organization |
Organization Name | LARRY GIDEON, M D |
Practice Address |
609 Bunnell M 19 Memphis MI 48041 |
Practice Telephone | 8103922192 |
Mailing Telephone | 8103922192 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LARRY GIDEON (PRESIDENT) |
Authorized Official Telephone | 8103922192 |
Authorized Official Credential | M D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | LG407549 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENCE | LG407549 | 01 |
Street Address |
609 BUNNELL M 19 |
City | MEMPHIS |
State | MI |
Zip Code | 48041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184647216 | Nicola Iosif Jaksa | Chiropractor | 35040 Helze Lane, Memphis, MI 48041 | 2006-07-26 |
1881165140 | Jillian Rosemary Suminski | Peer Specialist | 400 Stoddard Rd., Memphis, MI 48041 | 2018-12-16 |
1144749128 | Laura Elizabeth Taylor | Technician/Technologist | 3111 Electric Ave., Port Huron, MI 48041 | 2017-09-11 |
1811043466 | Jeffrey Michael Steenbergh | Social Worker | 400 Stoddard Rd, Memphis, MI 48041 | 2007-01-26 |
1891881561 | Pamela Jones | Licensed Practical Nurse | 400 Stoddard Rd, Memphis, MI 48041 | 2006-10-04 |
1780789578 | Mary Ann Golish | Counselor | 400 Stoddard Road, Memphis, Memphis, MI 48041 | 2006-09-14 |
1699878728 | Sacred Heart | Residential Treatment Facility, Emotionally Disturbed Children | 400 Stoddard Rd., Memphis, MI 48041 | 2006-09-06 |
1154424455 | Gerald Charles Zemens | Counselor | 400 Stoddard Road, Box 41038, Memphis, MI 48041 | 2006-09-06 |
1235225863 | Billie Fay Deke | Licensed Practical Nurse | 400 Stoddard, Memphis, MI 48041-1038 | 2006-10-04 |
1245333517 | Frances Louise Deponio | Counselor | 400 Stoddard Ave., Memphis, MI 48041-1038 | 2006-09-05 |
Find all providers in zip 48041 |
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.