PROACTIVE HEART & VASCULAR, PLLC (NPI# 1700973625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700973625 |
| Entity Type | Organization |
| Organization Name | PROACTIVE HEART & VASCULAR, PLLC |
| Other Organization Name | CARDIOLOGY ASSOCIATES OF MEMPHIS PLLC |
| Practice Address |
7751 Wolf River Blvd Germantown TN 38138-1706 |
| Practice Telephone | 9012974000 |
| Practice Fax Number | 9015318344 |
| Mailing Telephone | 9012974000 |
| Mailing Fax Number | 9015318344 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-08-08 |
| Authorized Official Name | DR. MICHAEL NELSON (PRESIDENT) |
| Authorized Official Telephone | 9012974000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
========= | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiology Associates of Memphis PLLC | Former Legal Business Name - Organization |
| Street Address |
7751 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470489 | Angela Prieb Hamilton | Nurse Practitioner | 7751 Wolf River Blvd, Germantown, TN 38138-1706 | 2016-11-21 |
| 1043477136 | Michael Aaron Nelson | Internal Medicine | 7751 Wolf River Blvd, Germantown, TN 38138-1706 | 2008-05-17 |
| 1861680670 | Lesa Beaver | Nurse Practitioner | 7751 Wolf River Blvd, Germantown, TN 38138-1706 | 2007-10-05 |
| 1104968171 | Tracie L. Luther | Nurse Practitioner | 7751 Wolf River Blvd, Germantown, TN 38138 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811901697 | Richard J. Wakefield | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022 | 2006-07-28 |
| 1205866332 | Efstathios S Naum | Internal Medicine | W180n11070 River Lin, Germantown, WI 53022 | 2006-07-04 |
| 1083614572 | James J Stamper | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-07-26 |
| 1558367490 | Richard Joseph Gordon | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2005-06-24 |
| 1568465482 | Brenda J Richardson | Internal Medicine | 7205 Wolf River Blvd, Ste 201, Germantown, TN 38138-1746 | 2005-05-24 |
| 1992101356 | Cardiovascular Specialists of Germantown LLC | Internal Medicine | 12800 Middlebrook Rd, Suite # 114, Germantown, MD 20874-5204 | 2014-11-13 |
| 1972867422 | David Madison Flatt | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2012-06-29 |
| 1821352220 | Ei K Swe | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2012-06-29 |
| 1104184100 | Mark J Kaeppler | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022-3109 | 2012-04-26 |
| 1316242266 | Stern Cardiovascular Foundation, Inc | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2011-01-24 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.