THE MEDICAL GROUP OF MEMPHIS LLC (NPI# 1831246396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831246396 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL GROUP OF MEMPHIS LLC |
| Practice Address |
1500 W Poplar Ave #308 Collierville TN 38017-0601 |
| Practice Telephone | 9014140017 |
| Mailing Telephone | 9014140017 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER STRUBLE (CEO) |
| Authorized Official Telephone | 9017258603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | TN | Other Service Providers |
| Street Address |
1500 W POPLAR AVE #308 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569034 | Joy C Burbeck | Internal Medicine | 1500 W Poplar Ave, Ste 206, Collierville, TN 38017-0601 | 2005-06-21 |
| 1669794574 | Collierville Family Medicine PC | Family Medicine | 1500 W Poplar Ave, Suite 310, Collierville, TN 38017-0601 | 2010-02-18 |
| 1417117433 | Southern Spine Specialists, Pllc | Orthopaedic Surgery | 1500 W Poplar Ave, Suite 201, Collierville, TN 38017-0601 | 2008-06-12 |
| 1972761302 | Tommy C. Thompson,m.d. | Urology | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 | 2008-06-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1912197252 | Bharat R Patel | Respiratory Therapist, Registered | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-08-01 |
| 1285835645 | Lynda Pelot Mcallister | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-05-31 |
| 1912126889 | Deanne Elisabeth Hettinger | Occupational Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-25 |
| 1821216300 | Sean Ichael Oconnell | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| 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 |
|---|---|---|---|---|
| 1245383652 | Stephanie Yau Cline | Specialist | 569 W Poplar Ave, Collierville, TN 38017-2537 | 2007-01-19 |
| 1881619989 | Carol Ingram Lynn | Specialist | 2028 W Poplar Ave Ste 110, Collierville, TN 38017-0618 | 2006-07-12 |
| 1275507618 | Dwayne D Findley | Specialist | 126 Hwy 72, Collierville, TN 38017 | 2006-02-14 |
| 1891791349 | Robert William Schriner | Specialist | 1500 W. Poplar Ave., Suite 206, Collierville, TN 38017 | 2005-06-21 |
| 1588668057 | April Charpentier Sanchez | Specialist | 1700 Stillwind Ln, Collierville, TN 38017-3695 | 2005-06-11 |
| 1891216107 | Top Flight Medical | Specialist | 1500 W Poplar Ave Ste 304, Collierville, TN 38017-0601 | 2017-06-28 |
| 1184909384 | Integrity Oncology Foundation, Inc. | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2011-10-19 |
| 1649595703 | Mosaic Pathology Consultants, Pllc | Specialist | 1318 Marsh Creek Ln, Collierville, TN 38017-3940 | 2010-04-01 |
| 1699009290 | Integrity Oncology, Pllc | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2009-09-29 |
| 1750514410 | Integrity Oncology, Pllc | Specialist | 400 Market Blvd, Suite 115, Collierville, TN 38017-6516 | 2009-08-28 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.