METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATION (NPI# 1447792536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447792536 |
| Entity Type | Organization |
| Organization Name | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATION |
| Other Organization Name | METHODIST MINOR MEDICAL CENTER - MIDTOWN |
| Practice Address |
1803 Union Ave Suite 2 Memphis TN 38104-3942 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 9017223152 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | JOHN GRAVES (CEO) |
| Authorized Official Telephone | 9015161400 |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Methodist Minor Medical Center - Midtown | Other Name - Individual/Organization |
| Street Address |
1803 UNION AVE SUITE 2 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124277967 | Methodist Heatlhcare Community Care Associates | Clinic/Center | 1803 Union Ave, Suite 2, Memphis, TN 38104-3942 | 2008-09-17 |
| 1437582426 | Holly J Parks Fuller | Nurse Practitioner | 1803 Union Ave, Memphis, TN 38104-3942 | 2013-08-14 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144568718 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 1653 Poplar Ave, Memphis, TN 38104 | 2013-01-16 |
| 1538242862 | New Image Family Dentistry M | Non-Pharmacy Dispensing Site | 2713 Mount Moriah Rd Ste 101, Memphis, TN 38115-1620 | 2006-10-23 |
| 1073539938 | The Family Physician Group PC | Non-Pharmacy Dispensing Site | 7685 Winchester Rd Ste 101, Memphis, TN 38125-2202 | 2006-07-14 |
| 1245866896 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 5131 Quince Rd, Memphis, TN 38117-6846 | 2020-03-16 |
| 1891328993 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2020-02-17 |
| 1407338320 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2018-09-06 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1518351246 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 6515 Poplar Ave, Suite 106, Memphis, TN 38119-4878 | 2015-03-19 |
| 1235458159 | Family Cancer Center Pllc | Non-Pharmacy Dispensing Site | 6005 Park Ave, Suite 1000-b, Memphis, TN 38119-5202 | 2010-05-18 |
| 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.