MARY E BRUCE (NPI# 1508974700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508974700 |
Entity Type | Individual |
Full Name | MARY E BRUCE |
Credential | PA |
Practice Address |
890 Madison Ave Memphis TN 38103-3409 |
Mailing Address |
1407 Union Ave Suite 700 Memphis TN 38104-3627 |
Practice Telephone | 9014482579 |
Practice Fax Number | 9013022480 |
Mailing Telephone | 9014482579 |
Mailing Fax Number | 9013022480 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2015-04-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2344 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
009354-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07950511 | 05 | |
TN | Q002143 | 05 | |
AR | 199763795 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801109616 | Mary Bruce | Audiologist | 501 Skokie Blvd Fl 2, Northbrook, IL 60062-2802 | 2010-07-21 |
1336230655 | Mary Margaret Bruce | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
1710967880 | Mary E Bruce | Physical Therapist | 106 E Main St, Westborough, MA 01581 | 2006-01-17 |
Street Address |
890 MADISON AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38103-3409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164989448 | Phylicia Harris | Nurse Practitioner | 890 Madison Ave, Memphis, TN 38103-3409 | 2019-02-22 |
1346713948 | Abdul-karim Sesay | Nurse Practitioner | 890 Madison Ave, Memphis, TN 38103-3409 | 2019-01-07 |
1790197945 | Regional Med Extended Care Hospital, LLC | Long Term Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2014-05-22 |
1114356110 | Jose A Aguirre Md PC Tn | Internal Medicine | 890 Madison Ave, Floor 4, Memphis, TN 38103-3409 | 2013-11-11 |
1134552219 | Regional Med Extended Care Hospital, LLC | General Acute Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2013-08-13 |
1033209606 | William Leslie Hickerson | Surgery | 890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409 | 2006-10-13 |
1235234808 | Ibrahim A Sultan-ali | Internal Medicine | 890 Madison Ave, Memphis, TN 38103-3409 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568910560 | Erica Troia Comstock | Physician Assistant | 7193 Farnham Rd, Memphis, NY 13112-8764 | 2016-09-19 |
1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
1831361948 | F & P Certified Surgical Assistants LLC | Physician Assistant | 4793 Northwood Hills Cv, Memphis, TN 38128-1632 | 2008-03-28 |
1265619118 | Jerry Emerson Shaw | Physician Assistant | 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 | 2008-01-23 |
1427683796 | Madison Barry | Physician Assistant | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-03-07 |
1891340154 | Lauren Elizabeth Whitley | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-08-05 |
1518519057 | Michael Trevor Houseal | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-07-15 |
1427571850 | Kristen Kaplon | Physician Assistant | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2017-07-18 |
1316485667 | Kathryn Lee | Physician Assistant | 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 | 2017-02-07 |
1700331527 | Ted James Hegner | Physician Assistant | 6005 Park Ave Ste 802, Memphis, TN 38119-5218 | 2016-08-22 |
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.