RALEIGH CORDOVA MEDICAL GROUP, P.C. (NPI# 1821198813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821198813 |
| Entity Type | Organization |
| Organization Name | RALEIGH CORDOVA MEDICAL GROUP, P.C. |
| Practice Address |
3809 Covington Pike Memphis TN 38135-2209 |
| Practice Telephone | 9013861625 |
| Practice Fax Number | 9013778986 |
| Mailing Telephone | 9013861625 |
| Mailing Fax Number | 9013778986 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | JAMES SIKES (PRESIDENT) |
| Authorized Official Telephone | 9013861625 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3809 COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38135-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629178603 | Thomas Ferguson | Specialist | 3809 Covington Pike, Memphis, TN 38135-2209 | 2006-09-22 |
| 1013159383 | Kristina G Boyette | Nurse Practitioner | 3809 Covington Pike, Memphis, TN 38135-2209 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677907 | Hamad Ahmad Md PC | Family Medicine | 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 | 2020-04-06 |
| 1699143156 | Cortney Brugal | Pharmacist | 3881 Rim Creek Ln, Memphis, TN 38135 | 2015-09-14 |
| 1841689783 | Georginia Melius Ix | Occupational Therapist | 3655 Jalan Drive, Bartlett, TN 38135 | 2015-01-15 |
| 1518123033 | Sheila Ann Perkins | Occupational Therapy Assistant | 3909 Old Covington Pike Road, Memphis, TN 38135 | 2008-08-04 |
| 1881815801 | Rahul Vasant Sonone | Psychiatry & Neurology | 7645 Wolfriver Circle, 100, Germatown, TN 38135 | 2007-05-01 |
| 1295873842 | Tanya Lasha Hill | Counselor | 7410 Memphis-arlington Road, Memphis, TN 38135 | 2007-02-02 |
| 1013056084 | Nicole Lynn Gebke | Social Worker | 7410 Memphis-arlington Rd, Bartlett, TN 38135 | 2007-02-06 |
| 1922056431 | Carl J Siciliano | Podiatrist | 7424 Us Highway 64, Ste 119, Bartlett, TN 38135 | 2006-05-05 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1124671060 | Anne Ellen Roberson | Nurse Practitioner | 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 | 2019-07-19 |
| Find all providers in zip 38135 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1033582267 | Aletta Roebuck | Specialist | 2275 Edgewood Cv, Memphis, TN 38104-4357 | 2015-11-10 |
| 1922482967 | Convalescent Home Health Services | Specialist | 2904 Chelsea Ave, Memphis, TN 38108-1705 | 2015-07-18 |
| 1821407859 | Rachel Siegel | Specialist | 430 Essex Pl, Memphis, TN 38120-2422 | 2014-08-04 |
| 1790199180 | Supplemental Specialists | Specialist | 7665 Easterly Ln, Memphis, TN 38125-4313 | 2014-06-13 |
| 1982027769 | Dowen E Synder | Specialist | 6224 Shady Grove Ln, Memphis, TN 38120-3107 | 2014-01-29 |
| 1962845503 | Atlas Health, Pllc | Specialist | 14 N Mclean Blvd, Memphis, TN 38104-2645 | 2013-04-13 |
| 1760725659 | Jyothishree PC | Specialist | 6005 Park Ave Ste 626b, Memphis, TN 38119-5221 | 2013-03-29 |
| 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.