DIVERSIFIED HEALTHCARE (NPI# 1457634180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457634180 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED HEALTHCARE |
| Practice Address |
6005 Park Ave Suite 704 Memphis TN 38119-5202 |
| Practice Telephone | 9016844646 |
| Practice Fax Number | 9016844650 |
| Mailing Telephone | 9016844646 |
| Mailing Fax Number | 9016844650 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | DR. SHREAREST MIGNON CRENSHAW (PHYSICIAN) |
| Authorized Official Telephone | 9016844646 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
39250 | TN | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Diversified Healthcare Partners, LLC | 21825 East Berry Place, Centennial, CO 80015 |
| Ohio Business Entities | DIVERSIFIED HEALTHCARE SERVICES CORPORATION | 24591 Del Prado, #201, Dana Point, CA 92629 |
| Oregon Corporations, Companies and Business Names | DIVERSIFIED HEALTHCARE TRUST | Two Newton Place 255 Washington Street, Newton, MA 02458 |
| Street Address |
6005 PARK AVE SUITE 704 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1023552387 | Mary Hamm | Social Worker | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-12-06 |
| 1427501147 | Michelle Colette Gammill | Physician Assistant | 6005 Park Ave, Suite 500b, Memphis, TN 38119-5202 | 2016-07-28 |
| 1659732063 | Jennifer Wineland Rich | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-03-11 |
| 1033581764 | Sue Stovall | Registered Nurse | 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | 2015-10-21 |
| 1497121990 | Vogelfanger and Struble Clinic, Pllc | Nurse Practitioner | 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 | 2015-08-19 |
| 1801297551 | Robert W Greene Jr Md PC | Physical Medicine & Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 | 2014-09-12 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| 1093131401 | Mid South Pain and Anesthesia Clinic | Durable Medical Equipment & Medical Supplies | 6005 Park Ave, Suite 502, Memphis, TN 38119-5202 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1376010850 | Mid-south Geriatrics & Palliative Care Pllc | Clinic/Center | 6027 Walnut Grove Rd Ste 317, Memphis, TN 38120-2128 | 2018-11-01 |
| 1194279505 | Allen Primary Care Medicine | Clinic/Center | 6010 Knight Arnold Road Ext, 1, Memphis, TN 38115-3322 | 2016-08-15 |
| 1487003950 | Family Medic Primary Healthcare Inc | Clinic/Center | 4395 Stage Rd, Memphis, TN 38128-5708 | 2016-06-06 |
| 1912365149 | None | Clinic/Center | 1324 Vinton Ave # 1, Memphis, TN 38104-4558 | 2016-02-02 |
| 1790160117 | Eldra Perry | Clinic/Center | 1750 Madison Ave Ste 401, Memphis, TN 38104-6428 | 2015-07-27 |
| 1659752103 | Community Transition Nurse Care Manager, LLC | Clinic/Center | 1251 Wesley Dr Ste 104, Memphis, TN 38116-6442 | 2015-06-10 |
| 1972920452 | Bonk Internal Medicine,inc. | Clinic/Center | 5575 Poplar Ave Ste 504, Memphis, TN 38119-0821 | 2014-03-24 |
| 1992901128 | Locum Tenens Healthcare | Clinic/Center | 3145 Hickory Hill Rd, Suite 101, Memphis, TN 38115-2533 | 2007-06-25 |
| 1295859312 | Families First Health Care | Clinic/Center | 3699 Riverdale, Memphis, TN 38125 | 2007-03-16 |
| 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.