DAVID STRUBLE (NPI# 1710919352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710919352 |
| Entity Type | Individual |
| Full Name | DAVID STRUBLE |
| Credential | M.D. |
| Practice Address |
6005 Park Ave Suite 630b Memphis TN 38119-5202 |
| Mailing Address |
819 Harbor Bend Rd Memphis TN 38103-0819 |
| Practice Telephone | 9017671136 |
| Practice Fax Number | 9017670476 |
| Mailing Telephone | 9017671136 |
| Mailing Fax Number | 9017670476 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD39794 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD39794 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427071950 | David Allen Struble | Dentist | 1136 W Jackson St, Ozark, MO 65721-9164 | 2006-07-25 |
| Street Address |
6005 PARK AVE SUITE 630B |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295053767 | Annie Naik Gadiparthi | Psychiatry & Neurology | 848 Adams Avenue L400, Memphis, TN 38103-8503 | 2010-05-09 |
| 1669579116 | Jonathan David Shaw | Psychiatry & Neurology | 2911 Brunswick Road, Memphis, TN 38133 | 2006-09-19 |
| 1760485866 | Paul David Clein | Psychiatry & Neurology | 2911 Brunswick Rd, Lakeside Hospital, Memphis, TN 38133 | 2005-05-23 |
| 1164830956 | Sumaiya Amena Hossain | Psychiatry & Neurology | 51 N Dunlap St, Memphis, TN 38105-4625 | 2014-07-24 |
| 1154764660 | Jessica Cummings | Psychiatry & Neurology | University of Tennessee, 910 Madison Ave. Suite 1031, Memphis, TN 38163 | 2013-04-15 |
| 1598082992 | Darrell Andrew Elliott | Psychiatry & Neurology | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2010-04-23 |
| 1174851786 | Andres Alberto Ramos Henriquez | Psychiatry & Neurology | 51 N Dunlap St., Ste. 350, Memphis, TN 38105 | 2009-11-20 |
| 1851358618 | Valerie K Arnold | Psychiatry & Neurology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959017 | Periscope Community Health Services | Psychiatry & Neurology | 167 Belle Forest Cir, Nashville, TN 37221-2103 | 2020-10-15 |
| 1902117815 | The Family Wellness Center, LLC | Psychiatry & Neurology | 7503 Queens Ct, Suite 1, Germantown, TN 38138-3875 | 2010-06-24 |
| 1063739415 | Wellsprings Psychiatry and Counseling Center, Pllc | Psychiatry & Neurology | 109 Holiday Ct Ste D10, Franklin, TN 37067-1311 | 2010-04-26 |
| 1619154440 | 17th Avenue Psychiatry | Psychiatry & Neurology | 1503 17th Ave S, Nashville, TN 37212-2805 | 2008-01-23 |
| 1093913576 | Michael Greer Md PC | Psychiatry & Neurology | 183 Fiddlers Ln, Kingston, TN 37763-4020 | 2007-07-06 |
| 1609971134 | Richard A Colletti | Psychiatry & Neurology | 109 Holiday Ct., D10, Franklin, TN 37067 | 2006-09-13 |
| 1407963515 | Constance L Durbin | Psychiatry & Neurology | 1135 Cully Rd, Ste 100, Cordova, TN 38016 | 2006-08-24 |
| 1558380089 | Daniel Barton | Psychiatry & Neurology | 4535 Harding Pike, Suite # 102, Nashville, TN 37205-2120 | 2006-07-18 |
| 1063048668 | Mind and Body Wellness Clinic | Psychiatry & Neurology | 1176 Vickery Ln Ste 100, Cordova, TN 38016-0631 | 2020-03-16 |
| 1609424274 | Bright Star Child and Adolescent Psychiatry LLC | Psychiatry & Neurology | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2019-08-27 |
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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.