CARDIAC CIN OF WEST TENNESSEE LLC


Address: 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032
Phone: 6153860064

CARDIAC CIN OF WEST TENNESSEE LLC (NPI# 1588172464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588172464
Entity Type Organization
Organization Name CARDIAC CIN OF WEST TENNESSEE LLC
Practice Address 5865 Ridgeway Center Pkwy Ste 300c
Memphis
TN 38120-4032
Mailing Address 102 Woodmont Blvd Ste 350
Nashville
TN 37205-2216
Practice Telephone 6153860064
Practice Fax Number 6153860067
Mailing Telephone 6153860064
Mailing Fax Number 6153860067
Enumeration Date 2018-01-13
Last Update Date 2020-02-13
Authorized Official Name EDWARD LELAND HUTTON EADIE (DIRECTOR)
Authorized Official Telephone 6157332064
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
TN Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
TN Allopathic & Osteopathic Physicians

Office Location

Street Address 5865 RIDGEWAY CENTER PKWY STE 300C
City MEMPHIS
State TN
Zip Code 38120-4032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
Find all providers in zip 38120

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073085189 Heart Center Usa Incorporated Internal Medicine 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 2018-12-31
1750630794 David Marc Mirvis Internal Medicine 5676 Redding Ave, Memphis, TN 38120-1848 2012-09-06
1255607164 Dmitry M Yaranov Internal Medicine 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 2012-03-25
1699908038 Roger Jones Cunningham Internal Medicine 203 E Parkway S, Memphis, TN 38104-4341 2009-09-02
1699948281 Adedayo Ademola Adeboye Internal Medicine 1030 Jefferson Ave, Vamc, Medical Service-cardiology, Memphis, TN 38104 2008-04-04
1881890614 D Bruce Wilson Md, PC Internal Medicine 188 S Bellevue Blvd, #405, Memphis, TN 38104-3416 2007-06-27
1629281712 Saxton Heart Clinic PC Internal Medicine 6055 Primacy Pkwy Ste 125, Memphis, TN 38119-5701 2007-05-07
1417001223 David L. Simmons, Md, PC - Cardiovascular Services Internal Medicine 202 Greenbriar Dr, Memphis, TN 38117-3237 2007-01-22
1720187040 Jesse E Mcgee Internal Medicine 4567 Millbranch Road, Memphis, TN 38116 2006-09-22
1326156100 Stewart Lewis Nunn Internal Medicine 706 Cypress Dr, Memphis, TN 38112-1738 2006-08-29
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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Dataset Information

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.

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