BOOMI NATHAN (NPI# 1063540615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063540615 |
| Entity Type | Individual |
| Full Name | BOOMI NATHAN |
| Credential | MD |
| Practice Address |
8366 Trondheim Dr Cordova TN 38018-4376 |
| Practice Telephone | 9014280694 |
| Practice Fax Number | 9017550559 |
| Mailing Telephone | 9014280694 |
| Mailing Fax Number | 9017550559 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-5585 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
8366 TRONDHEIM DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647237 | Sanitas Medical Center of Tennessee PC | Family Medicine | 2382 N Germantown Pkwy Ste 101, Cordova, TN 38016-7404 | 2020-04-08 |
| 1386150530 | Olbhealthcare, Pllc | Family Medicine | 460 Wolf View Cv, Cordova, TN 38018-7629 | 2017-12-26 |
| 1073040556 | Segue Health Partners LLC | Family Medicine | 765 Woodland Trace Ln, Cordova, TN 38018-6609 | 2017-05-16 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1215213160 | Puja K Myne | Family Medicine | 8110 Cordova Rd Ste 111, Cordova, TN 38016-0522 | 2011-10-24 |
| 1497914386 | Mamunur Rahman | Family Medicine | 584 N Germantown Pkwy, 101, Cordova, TN 38018-5211 | 2008-06-05 |
| 1285844753 | Saleem A Choudhri | Family Medicine | 408 Lillehammer Cv, Cordova, TN 38018-4375 | 2007-05-23 |
| 1215065867 | Monica Beth Griffin | Family Medicine | 670 N Germantown Pkwy Ste 18, Cordova, TN 38018-6287 | 2007-03-02 |
| 1467543140 | Marc J. Crupie | Family Medicine | 1025 Cordova Station Ave, Cordova, TN 38018-6318 | 2006-09-27 |
| 1881615029 | Scottie Lynn Twilley | Family Medicine | 426 School St, Cordova, AL 35550-6000 | 2006-07-22 |
| Find all providers in CORDOVA | ||||
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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.