MEMPHIS VAMC (NPI# 1003859588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003859588 |
Entity Type | Organization |
Organization Name | MEMPHIS VAMC |
Other Organization Name | MEMPHIS VA CLINIC |
Practice Address |
1689 Nonconnah Blvd Memphis TN 38132-2105 |
Mailing Address |
Po Box 94511 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2017-09-13 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Memphis VA Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649401316 | Memphis Vamc | Clinic/Center | 125 Quarles Ln, West Helena, AR 72390-1923 | 2009-07-29 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
1154374726 | Memphis Vamc | Clinic/Center | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-05-17 |
1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
1659667996 | Memphis Vamc | Military Hospital | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2011-06-24 |
1356572010 | Memphis Vamc | Clinic/Center | 1067 Vendall Rd, Dyersburg, TN 38024-1622 | 2009-07-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMPHIS VAMC | 1030 Jefferson Ave, Memphis, TN 38104-2127 |
Street Address |
1689 NONCONNAH BLVD |
City | MEMPHIS |
State | TN |
Zip Code | 38132-2105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134129265 | Proactive Therapy of Greenville Inc | Clinic/Center | 1689 Nonconnah Blvd, Suite 100, Memphis, TN 38132-2102 | 2005-07-29 |
1295387629 | Jeromica Bosshera Ward | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-16 |
1164084521 | Kelly Marie Cawley | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
1982266342 | Abagail Marie Kirk | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
1639731094 | Matthew Mcbride | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
1629562905 | Sarah Elizabeth Martine Maxey | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2018-06-19 |
1124511266 | Theresa Karyn Cassidy | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2018-06-13 |
1659347250 | Kevin Cozort | Physical Therapist | 1689 Nonconnah Blvd, Ste 100, Memphis, TN 38132-2102 | 2006-02-24 |
1184699324 | Bradley Jason Cook | Specialist/Technologist | 1689 Nonconnah Blvd, Suite 105, Memphis, TN 38132-2102 | 2006-02-21 |
1689647901 | Carol Marie Astill | Specialist/Technologist | 1689 Nonconnah Blvd, Suite 105, Memphis, TN 38132-2102 | 2006-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
Find all providers in zip 38132 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154374726 | Memphis Vamc | Clinic/Center | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-05-17 |
1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
1801033964 | Yan Cao | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2009-01-12 |
1023236577 | Department of Veterans Affairs | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2007-04-22 |
1861405797 | Elsheikh Ahmed Kineish | Clinic/Center | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
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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.