LONDON CORPORATON (NPI# 1417108796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417108796 |
| Entity Type | Organization |
| Organization Name | LONDON CORPORATON |
| Practice Address |
23 South Pauline Street Suite 709 Memphis TN 38104-3121 |
| Practice Telephone | 9015779467 |
| Practice Fax Number | 9013626618 |
| Mailing Telephone | 9015779467 |
| Mailing Fax Number | 9013626618 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | JAMES H JASTER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9015779467 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26376 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NPI | 1003005885 | 01 |
| TN | 3098864 | 05 | |
| TN | 1510854 | 05 |
| Street Address |
23 SOUTH PAULINE STREET SUITE 709 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1740459817 | Adrain B. Blotner Md PC | Psychiatry & Neurology | 6401 Poplar Ave Ste 316, Memphis, TN 38119-4806 | 2008-02-22 |
| 1003005885 | James H Jaster | Psychiatry & Neurology | 23 South Pauline Street, Suite 709, Memphis, TN 38104-3121 | 2007-10-17 |
| 1164634978 | Monisha Dutta | Psychiatry & Neurology | 880 Madison Avenue, Memphis, TN 38103-3409 | 2007-05-04 |
| 1891911954 | Rada Petrinjac-nenadic | Psychiatry & Neurology | 5100 Sanderlin Ave, Suite 2100, Memphis, TN 38117-4387 | 2007-04-17 |
| 1306994611 | Charles Hughes Hubbert | Psychiatry & Neurology | Memphis Va Hospital, Dept. Neurology, 1030 Jefferson Avenue, Memphis, TN 38104 | 2007-01-05 |
| 1881775799 | Butler Neurology PC | Psychiatry & Neurology | 1264 Wesley Drive, Suite 209, Memphis, TN 38116 | 2006-10-18 |
| 1477660306 | Marc David Malkoff | Psychiatry & Neurology | 855 Monroe Ave, Suite 415 Link Building, Memphis, TN 38103-4901 | 2006-08-24 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| 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.