LOCUM TENENS HEALTHCARE (NPI# 1992901128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992901128 |
| Entity Type | Organization |
| Organization Name | LOCUM TENENS HEALTHCARE |
| Practice Address |
3145 Hickory Hill Rd Suite 101 Memphis TN 38115-2533 |
| Mailing Address |
2156 N Highland Ave # 282 Ste B Jackson TN 38305-4915 |
| Practice Telephone | 9013671116 |
| Practice Fax Number | 9013671120 |
| Mailing Telephone | 9013671116 |
| Mailing Fax Number | 9013671120 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KELVIN L DOUGLAS (DOCTOR) |
| Authorized Official Telephone | 9013671116 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD0000026349 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NPI | 1982643482 | 01 |
| TN | NPI FOR MEMPHIS OFFICE | 1992901128 | 01 |
| Street Address |
3145 HICKORY HILL RD SUITE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884071 | Go Care Mt LLC | Non-emergency Medical Transport (VAN) | 3145 Hickory Hill Rd, Memphis, TN 38115-2518 | 2019-07-30 |
| 1760889430 | Alberta Home Care Inc | In Home Supportive Care | 3145 Hickory Hill Rd, 106 C, Memphis, TN 38115-2518 | 2014-11-25 |
| 1770867251 | Patricia Denise Payne | Respite Care | 3145 Hickory Hill Rd, Suite 106b, Memphis, TN 38115-2518 | 2011-10-03 |
| 1336458066 | Natural Strength Development Center LLC | Non-emergency Medical Transport (VAN) | 3145 Hickory Hill Rd, Suite 104, Memphis, TN 38115-2518 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1376010850 | Mid-south Geriatrics & Palliative Care Pllc | Clinic/Center | 6027 Walnut Grove Rd Ste 317, Memphis, TN 38120-2128 | 2018-11-01 |
| 1194279505 | Allen Primary Care Medicine | Clinic/Center | 6010 Knight Arnold Road Ext, 1, Memphis, TN 38115-3322 | 2016-08-15 |
| 1487003950 | Family Medic Primary Healthcare Inc | Clinic/Center | 4395 Stage Rd, Memphis, TN 38128-5708 | 2016-06-06 |
| 1912365149 | None | Clinic/Center | 1324 Vinton Ave # 1, Memphis, TN 38104-4558 | 2016-02-02 |
| 1790160117 | Eldra Perry | Clinic/Center | 1750 Madison Ave Ste 401, Memphis, TN 38104-6428 | 2015-07-27 |
| 1659752103 | Community Transition Nurse Care Manager, LLC | Clinic/Center | 1251 Wesley Dr Ste 104, Memphis, TN 38116-6442 | 2015-06-10 |
| 1972920452 | Bonk Internal Medicine,inc. | Clinic/Center | 5575 Poplar Ave Ste 504, Memphis, TN 38119-0821 | 2014-03-24 |
| 1295859312 | Families First Health Care | Clinic/Center | 3699 Riverdale, Memphis, TN 38125 | 2007-03-16 |
| 1326116476 | Case Management Inc | Clinic/Center | 3171 Directors Row, Memphis, TN 38131-0405 | 2006-11-30 |
| 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.