MEMPHIS CARDIAC CARE CENTER, PLLC (NPI# 1053362749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362749 |
| Entity Type | Organization |
| Organization Name | MEMPHIS CARDIAC CARE CENTER, PLLC |
| Practice Address |
1325 Eastmoreland Ave Suite 440 Memphis TN 38104-3519 |
| Mailing Address |
Po Box 381588 Germantown TN 38183-1588 |
| Practice Telephone | 9017228884 |
| Practice Fax Number | 9012761436 |
| Mailing Telephone | 9017228884 |
| Mailing Fax Number | 9012761436 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | SUNIL JHA (PRESIDENT) |
| Authorized Official Telephone | 9017228884 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD0000035150 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00124374 | 05 | |
| TN | 3863065 | 05 |
| Street Address |
1325 EASTMORELAND AVE SUITE 440 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255526 | Wendy L Dusenbury | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2005-06-16 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1356793327 | Meredith Alexis Rone | Nurse Practitioner | 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 | 2016-07-01 |
| 1073915823 | Ut Methodist Physicians | General Acute Care Hospital | 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104-3519 | 2014-09-24 |
| 1740533595 | Mallory J Hamsher | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 | 2012-10-17 |
| 1538418389 | Shekinah Jaquay Andrews | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2012-09-06 |
| 1750649646 | Rebecca L Reasons | Dietitian, Registered | 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 | 2012-04-27 |
| 1548550320 | Tracrw LLC H | Clinic/Center | 1325 Eastmoreland Ave, Memphis, TN 38104-3519 | 2011-04-13 |
| 1821397902 | Thomas M Middleton Jr. | Counselor | 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538391446 | Indranill Basu Ray | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119 | 2009-08-12 |
| 1831332626 | Karine Guerrier | Internal Medicine | 848 Adams Ave, Ste. L400, Memphis, TN 38103 | 2009-04-09 |
| 1588753727 | Mark A Coppess | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-10-12 |
| 1447342811 | Eric E Johnson | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| 1124078647 | James Porterfield | Internal Medicine | 1211 Union Ave, Suite 475, Memphis, TN 38104-6638 | 2006-05-12 |
| 1326098567 | Arrhythmia Consultants, PC | Internal Medicine | 1211 Union Ave, Suite 475, Memphis, TN 38104-6638 | 2006-05-10 |
| 1023074010 | Glenn T Wetzel | Internal Medicine | 848 Adams Ave, Memphis, TN 38103 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015935 | Basu Ray Cardiology Associates PC | Internal Medicine | 1755 Groveway Dr, Germantown, TN 38139-5554 | 2020-05-25 |
| 1548266786 | Tibor Sandor Szabo | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2005-06-22 |
| 1275811713 | Knoxville Hma Cardiology Ppm, LLC | Internal Medicine | 1225 E Weisgarber Rd, Knoxville, TN 37909-2604 | 2011-08-02 |
| 1518279686 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite C-520, Chattanooga, TN 37403-2136 | 2010-07-06 |
| 1174842181 | Specialty Physician Group LLC | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2010-06-01 |
| 1518122613 | Martin Antonio Espinosa | Internal Medicine | 222 22nd Ave N, Suite 400, Nashville, TN 37203-1852 | 2008-07-28 |
| 1093978751 | Rashmi Ujaneppa Hottigoudar | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2008-07-02 |
| 1265606255 | Przemyslaw Peter Borek | Internal Medicine | 2400 Patterson St Ste 502, Nashville, TN 37203-6511 | 2008-04-22 |
| 1124201298 | Sean Patrick Whalen | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-12-12 |
| 1003097593 | Mehul B Patel | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2007-11-26 |
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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.