LIFELINC INTERVENTIONAL PLLC (NPI# 1699076414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699076414 |
| Entity Type | Organization |
| Organization Name | LIFELINC INTERVENTIONAL PLLC |
| Practice Address |
1331 Union Ave Ste 927 Memphis TN 38104-7555 |
| Practice Telephone | 9018441590 |
| Practice Fax Number | 9018441592 |
| Mailing Telephone | 9018441590 |
| Mailing Fax Number | 9018441592 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | DR. NATARSHA GRANT (PRESIDENT) |
| Authorized Official Telephone | 9018441590 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1331 UNION AVE STE 927 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7555 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616084 | William Hill Moshier | Anesthesiology | 6257 E Shady Grove Rd, Memphis, TN 38120-2642 | 2006-12-18 |
| 1447241021 | Bradley W. Wargo | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2005-11-02 |
| 1639175037 | Phillip Edward Green | Anesthesiology | 6005 Park Ave Ste 502, Memphis, TN 38119-5215 | 2005-06-22 |
| 1508368820 | Kenneth Paul Spart Jr. | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2018-03-02 |
| 1841662079 | Health One, Pllc | Anesthesiology | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2015-10-27 |
| 1285042028 | Ut Regional One Physicians Inc | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2014-07-24 |
| 1114345949 | Michael Cody Scarbrough | Anesthesiology | 55 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 2014-03-29 |
| 1750674222 | Matthew Kangas | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2011-05-17 |
| 1184940405 | Winfred Bernard Abrams Jr. | Anesthesiology | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2010-04-12 |
| 1477754505 | Gipson Specialty Center, Pllc | Anesthesiology | 6005 Park Ave, Suite 400, Memphis, TN 38119-5202 | 2007-05-29 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on LIFELINC INTERVENTIONAL PLLC.
| 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.