MEMPHIS AREA PERFUSION (MAP) (NPI# 1861579393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861579393 |
| Entity Type | Organization |
| Organization Name | MEMPHIS AREA PERFUSION (MAP) |
| Practice Address |
6019 Walnut Grove Rd Memphis TN 38120-2113 |
| Mailing Address |
4803 New Airline Rd Arlington TN 38002-9586 |
| Practice Telephone | 9012265000 |
| Mailing Telephone | 9018674867 |
| Mailing Fax Number | 9018670569 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY BECKMAN (PRESEDENT) |
| Authorized Official Telephone | 9012104258 |
| Authorized Official Credential | CCP, LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | CP0000000030 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6019 WALNUT GROVE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738128 | Alka Kamo | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-05-24 |
| 1134728512 | Josh Randall Miller | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-18 |
| 1689272551 | Bryant Jerel Meeks | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-13 |
| 1831796614 | Victoria Elise Blackmon | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-05 |
| 1134736499 | Zachary Aaron Ortiz | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-30 |
| 1306453345 | Erin Bomar | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-24 |
| 1215546262 | Vickie Pitman | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-27 |
| 1417574609 | Taylor Money-williams | Pharmacist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-03 |
| 1730702861 | Michael Jason Hackett | Nurse Anesthetist, Certified Registered | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-23 |
| 1487276895 | Jayson Powell | Perfusionist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1710534029 | Equity Financial, LLC | Specialist/Technologist, Other | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-08-21 |
| 1174925143 | Memphis Men's Clinic, PC | Specialist/Technologist, Other | 5050 Poplar Ave, Ste 718, Memphis, TN 38157-0101 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1376191783 | Erien Wynne Fryer | Specialist/Technologist, Other | 190 Hatcher Ln Ste B, Clarksville, TN 37043-5989 | 2019-08-28 |
| 1851856512 | Brittany Marie Baker | Specialist/Technologist, Other | 140 Dameron Ave # 1800, Knoxville, TN 37917-6434 | 2019-02-07 |
| 1063864403 | Jennifer Rippetoe Lawrence | Specialist/Technologist, Other | 4267 Turnberry Rd, Lebanon, TN 37090-6503 | 2016-07-11 |
| 1265899959 | Delta Sleep Center Pllc | Specialist/Technologist, Other | 1505 Woodlawn Ave Ste B, Dyersburg, TN 38024-3145 | 2016-01-26 |
| 1255650867 | Darryl Deshawn Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-05-21 |
| 1013128701 | Eva Barrett Beal | Specialist/Technologist, Other | 463 Burnt Hill Rd, Unionville, TN 37180-8604 | 2007-05-24 |
| 1316159031 | Michael Shawn Jarrett | Specialist/Technologist, Other | 915 Poplar Springs Rd, Huntingdon, TN 38344-8867 | 2007-05-04 |
| 1164552832 | Renee Franklin | Specialist/Technologist, Other | 744 School Dr, Tn Dept of Health, Gainesboro, TN 38562-9575 | 2007-03-06 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
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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.