LEBONHEUR EAST SURGERY CENTER II LP (NPI# 1073763652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073763652 |
Entity Type | Organization |
Organization Name | LEBONHEUR EAST SURGERY CENTER II LP |
Other Organization Name | LEBONHEUR EAST SURGERY CENTER LP |
Practice Address |
786 Estate Place Memphis TN 38120 |
Practice Telephone | 9012874100 |
Practice Fax Number | 9015161755 |
Mailing Telephone | 9012874100 |
Mailing Fax Number | 9015161755 |
Enumeration Date | 2008-09-19 |
Last Update Date | 2012-02-01 |
Authorized Official Name | MRS. SHERRYE B CRONE (ADMINISTRATOR) |
Authorized Official Telephone | 9015161716 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000042 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS/BLUE SHIELD | 0117229 | 01 |
Other Name | Type Code |
---|---|
LeBonheur East Surgery Center LP | Former Legal Business Name - Organization |
Street Address |
786 ESTATE PLACE |
City | MEMPHIS |
State | TN |
Zip Code | 38120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
Find all providers in zip 38120 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1255465910 | Asc-tn LLC | Clinic/Center | 995 S Yates Rd Ste 1, Memphis, TN 38119-0882 | 2007-03-15 |
1689705055 | Jesse M Wesberry Md Psc | Clinic/Center | 2900 S Perkins Rd, Memphis, TN 38118-3237 | 2007-03-08 |
1023182581 | Mays & Schnapp Pain Clinic & Rehabilitation Center | Clinic/Center | 55 Humphreys Center Drive, Suite 200, Memphis, TN 38120-2366 | 2006-11-17 |
1275649063 | Mid-south Gastroenterology Group, Inc. | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2006-08-22 |
1164458634 | Saint Francis Surgery Center, LLC | Clinic/Center | 5999 Park Ave, Memphis, TN 38119-5200 | 2006-06-24 |
1447209820 | Planned Parenthood Greater Memphis Region | Clinic/Center | 2430 Poplar Ave, Suite 100, Memphis, TN 38112-3246 | 2006-05-10 |
1003871104 | Memphis Surgery Center Ltd, Lp | Clinic/Center | 1044 Cresthaven Rd, Memphis, TN 38119-3832 | 2006-04-20 |
1750386918 | Midtown Surgery Center Lp | Clinic/Center | 255 S Pauline St, Memphis, TN 38104 | 2005-06-15 |
1952820037 | Bowden Gastro Associates LLC | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2017-09-11 |
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.