SENIORWELL POD OF TENNESSEE LLC (NPI# 1871125146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871125146 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF TENNESSEE LLC |
| Practice Address |
5100 Poplar Ave Fl 27 Memphis TN 38137-2701 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | JOHN MORONEY (CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SeniorWell POD of Tennessee LLC | Doing Business As Name - Organization |
| Street Address |
5100 POPLAR AVE FL 27 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38137-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629637459 | Candice Camille Green | Home Health | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2019-06-05 |
| 1972126571 | Noble Health Services LLC | Home Health | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2020-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468881 | Loving Arms Adult Day Care Staffing Agency, LLC | Home Health | 5100 Poplar Ave., 5100 Poplar Ave.suite 2732, Memphis, TN 38137 | 2018-05-23 |
| 1467746263 | Turning Point Home Health, Inc. | Home Health | 5100 Poplar Avenue, Suite 812, Memphis, TN 38137 | 2011-06-09 |
| 1902395239 | Shuntay Latrice Wesby | Nurse Practitioner | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-05-02 |
| 1285137380 | Kamika Sharee Wall | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-03-14 |
| 1184170268 | Molly Ledbetter | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2016-08-29 |
| 1710323696 | Patient Support Services, Inc. | Durable Medical Equipment & Medical Supplies | 5100 Poplar Ave, Suite 2883, Memphis, TN 38137 | 2013-05-17 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1831262690 | Adrienne Michelle Jones | Physical Therapist | 5100 Poplar Ave Ste 525, Memphis, TN 38137-0525 | 2006-11-17 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| Find all providers in zip 38137 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497049449 | Abdul Rahman Ba | Podiatrist | 3960 Knight Arnold Rd Ste 102, Memphis, TN 38118-3001 | 2011-06-07 |
| 1417166489 | Joel M. Cook, Dpm, Pa | Podiatrist | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2007-05-22 |
| 1437278397 | Larry Baggett | Podiatrist | 3794 Park Ave, Memphis, TN 38111-6649 | 2007-03-29 |
| 1124188511 | Antonio Lavale Knowles | Podiatrist | 5362 Estate Office Dr, Suite 1, Memphis, TN 38119-3635 | 2006-12-08 |
| 1417964198 | Ronald E Rosenberg | Podiatrist | 920 Estate Drive, Suite 1, Memphis, TN 38119-0601 | 2006-08-02 |
| 1891743241 | Paul Hutchison | Podiatrist | 7878 Winchester Rd, Memphis, TN 38125-2307 | 2006-05-05 |
| 1538117411 | Joel Cook | Podiatrist | 3804 Elvis Presley Blvd, Memphis, TN 38116-4106 | 2006-05-04 |
| 1952371445 | Thomas E Ashbery | Podiatrist | 1038 S Yates Rd, Memphis, TN 38119-3708 | 2006-01-25 |
| 1336643121 | Ut Medical Group, Inc. | Podiatrist | 995 S Yates Rd Ste 2, Memphis, TN 38119-0882 | 2018-03-19 |
| 1588827109 | Shanta L. Griffin | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6492 | 2008-07-03 |
| 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.