SPG II LLC (NPI# 1255602587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255602587 |
| Entity Type | Organization |
| Organization Name | SPG II LLC |
| Practice Address |
1264 Wesley Dr Suite 302 Memphis TN 38116-6400 |
| Mailing Address |
1211 Union Ave Suite 700 Memphis TN 38104-6638 |
| Practice Telephone | 9012602072 |
| Practice Fax Number | 9012602077 |
| Mailing Telephone | 9015160520 |
| Mailing Fax Number | 9015160528 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | CHRISTOPHER MCLEAN (CFO SENIOR VP FINANCE) |
| Authorized Official Telephone | 9015160753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4321634 | 01 |
| AR | 192594002 | 05 | |
| MS | 02932831 | 05 | |
| TN | 1527696 | 05 | |
| TN | RAILROAD MEDICARE | DT0543 | 01 |
| Street Address |
1264 WESLEY DR SUITE 302 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453720 | Jean-claude Loiseau | Surgery | 1264 Wesley Dr, Ste 304, Memphis, TN 38116-6400 | 2005-08-09 |
| 1033642285 | D Katrina Mitchell King | Nurse Practitioner | 1264 Wesley Dr, Suite 402, Memphis, TN 38116-6400 | 2017-04-05 |
| 1821534058 | Dr. Alim Khandekar Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1264 Wesley Dr, Suite 201, Memphis, TN 38116-6400 | 2017-01-11 |
| 1770895591 | Methodist Specialty Physician Vi | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2010-07-09 |
| 1548580509 | Charlotte R Drake | Nurse Practitioner | 1264 Wesley Dr, Suite 501, Memphis, TN 38116-6400 | 2010-06-01 |
| 1255561874 | Maryland Hunter | Nurse Practitioner | 1264 Wesley Dr, Ste 402, Memphis, TN 38116-6400 | 2009-07-16 |
| 1396991832 | Memphis Retina, Pllc | Ophthalmology | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-08-15 |
| 1134386592 | Sharif Ashanti Abdus-salaam | Orthopaedic Surgery | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6400 | 2008-05-21 |
| 1982897492 | Gastroenterology Consultants. P.C. | Specialist | 1264 Wesley Dr, Suite 602, Memphis, TN 38116-6400 | 2007-08-20 |
| 1295926590 | Crescent Medical Inc. | Internal Medicine | 1264 Wesley Dr, Suite 501, Memphis, TN 38116 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1609132554 | Elizabeth He Wood | Surgery | 910 Madison Avenue Suite 310, Memphis, TN 38163-3328 | 2012-04-04 |
| 1124255161 | Sean D Mccarney | Surgery | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2009-06-17 |
| 1275775587 | Charles Nicholas Eisenhauer Iv | Surgery | 6029 Walnut Grove Rd Ste 404, Memphis, TN 38120-2112 | 2009-04-01 |
| 1982877973 | John Shelton Nelson | Surgery | 1251 Wesley Dr Ste 151, Memphis, TN 38116-6443 | 2008-04-10 |
| 1588879845 | David Louis Webb Jr. | Surgery | 6029 Walnut Grove Rd Ste 106, Memphis, TN 38120-2112 | 2007-05-11 |
| 1578788535 | Mary Brinson Owens | Surgery | 1325 Eastmoreland Ave Ste 370, Memphis, TN 38104-7542 | 2007-04-16 |
| 1639392400 | Regan Frances Williams | Surgery | 51 N Dunlap St Ste 230, Memphis, TN 38105-4625 | 2007-04-10 |
| 1871502468 | Eugene Mangiante | Surgery | 241 S Grove Park Rd, Memphis, TN 38117-3505 | 2006-08-05 |
| 1669427886 | Meyer Eye Group Plc | Surgery | 1000 Brookfield Rd Ste 275, Suite 100, Memphis, TN 38119-0801 | 2006-05-24 |
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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.