DR. LAWRENCE W WHITLOCK (NPI# 1801895206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895206 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE W WHITLOCK |
| Credential | MD |
| Practice Address |
3725 Champion Hills Dr Suite 2000 Memphis TN 38125-2597 |
| Mailing Address |
Po Box 1000 Dept 362 Memphis TN 38148-0362 |
| Practice Telephone | 9013679001 |
| Practice Fax Number | 9015658787 |
| Mailing Telephone | 9013739704 |
| Mailing Fax Number | 9012555223 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 8296 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3151917 | 05 | |
| RAIL RAOD MEDICARE | 110218393 | 01 | |
| AR | BCBS AR | 93161 | 01 |
| TN | 3159686 | 05 | |
| MS | 00122885 | 05 | |
| AR | 106996001 | 05 | |
| VESTICA | 512186 | 01 | |
| TN | BCBST | 3153163 | 01 |
| AETNA HMO | 4295606 | 01 |
| Street Address |
3725 CHAMPION HILLS DR SUITE 2000 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992068563 | Daniel Lee Magro Jr. | Family Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2012-06-19 |
| 1275852881 | Sarah E Corrigan | Physical Therapist | 3725 Champion Hills Dr, Ste 2050, Memphis, TN 38125-2597 | 2010-05-21 |
| 1912112632 | Ian Trevor Gaillard | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2007-05-14 |
| 1568501096 | Tina Dickinson | Nurse Practitioner | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2007-02-05 |
| 1336285162 | Bridget Brady | Nurse Practitioner | 3725 Champion Hills Dr, #2000, Memphis, TN 38125-2597 | 2007-01-29 |
| 1689737272 | Debbie Tapp O'cain | Family Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-12-18 |
| 1376651919 | Sonali Salil Parikh | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-08-25 |
| 1245242817 | Southwind Endoscopy Center | Clinic/Center | 3725 Champion Hills Dr, #2000, Memphis, TN 38125-2597 | 2006-08-12 |
| 1710915061 | Ronald Michael | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-06-28 |
| 1447299896 | Southwind Medical Specialists, P. C. | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1356797898 | Shwetapadma Sahu | Internal Medicine | 109 N Main St Apt 811, Memphis, TN 38103-5019 | 2016-05-13 |
| 1780030619 | Lamia Aljundi | Internal Medicine | 956 Court Avenue Suite H316b, Memphis, TN 38163-2148 | 2016-05-10 |
| 1437513439 | Highland Medical Corp | Internal Medicine | 3445 Poplar Ave Ste 13, Memphis, TN 38111-4667 | 2016-04-06 |
| 1760845994 | Anthony Selase Sallar | Internal Medicine | 920 Madison Ave Ste 300a, Memphis, TN 38103-3472 | 2016-04-04 |
| 1306218235 | Amp Medical Management, LLC | Internal Medicine | 1102 Brookfield Rd, Ste 102, Memphis, TN 38119-3826 | 2015-10-30 |
| 1245636596 | Jiten P Kothadia | Internal Medicine | 1265 Union Avenue 4 Shorb Tower, Memphis, TN 38104-4418 | 2014-11-14 |
| 1841614252 | Saurav Acharya | Internal Medicine | 956 Court Avenue G326 Coleman Building, Memphis, TN 38163-2857 | 2014-02-06 |
| 1396182705 | John W Fowler Jr. Md Pllc | Internal Medicine | 184 Colonial Rd, Memphis, TN 38117-3206 | 2013-05-24 |
| 1497198865 | Jeremy Scott Avila | Internal Medicine | 6799 Great Oaks Rd Ste 105, Memphis, TN 38138-2572 | 2013-04-16 |
| 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.