E E HINES III MD, PC (NPI# 1083758122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083758122 |
| Entity Type | Organization |
| Organization Name | E E HINES III MD, PC |
| Practice Address |
6263 Poplar Ave Ste 1052 Memphis TN 38119-4701 |
| Mailing Address |
3665 Ellen Davies Cv Bartlett TN 38133-0940 |
| Practice Telephone | 9017616157 |
| Practice Fax Number | 9017614145 |
| Mailing Telephone | 9018497065 |
| Mailing Fax Number | 9012134513 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | DR. ELBERT E. HINES III (PRESIDENT) |
| Authorized Official Telephone | 9017616157 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3389063 | 05 | |
| BLUE CROSS BLUE SHIELD | 002008944 | 01 | |
| TN | RAILROAD MEDICARE | CL0583 | 01 |
| CIGNA | 4409209005 | 01 |
| Street Address |
6263 POPLAR AVE STE 1052 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896881 | Elbert Edwin Hines IIi | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2005-07-29 |
| 1205283918 | Nina Ingram | Counselor | 6263 Poplar Ave, Suite 932, Memphis, TN 38119-4701 | 2016-05-23 |
| 1265827679 | Kristen Travis | Nurse Practitioner | 6263 Poplar Ave, Memphis, TN 38119-4701 | 2015-04-02 |
| 1720321060 | Cherechi C Ogwo | Internal Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2013-04-05 |
| 1487901757 | Giri Swamy Md PC | Internal Medicine | 6263 Poplar Ave, Suite 1052, Memphis, TN 38119-4701 | 2012-08-06 |
| 1487918363 | Saima Cheema | Internal Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2012-06-26 |
| 1104073675 | Martin Jeffrey Weiss Md | Internal Medicine | 6263 Poplar Ave, Suite 1052, Memphis, TN 38119-4701 | 2008-08-26 |
| 1376709451 | Amy F Funderburk, M.d. | Internal Medicine | 6263 Poplar Ave, Suite 1052, Memphis, TN 38119-4701 | 2008-07-29 |
| 1376738906 | Adult Primary Care of Memphis PC | Internal Medicine | 6263 Poplar Ave, Suite 1052, Memphis, TN 38119-4701 | 2007-09-06 |
| 1437350816 | Titilola Omobolaji Akhigbe | Internal Medicine | 6263 Poplar Ave, Memphis, TN 38119-4701 | 2007-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
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| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1235244450 | Monica Lynn Warhaftig | Family Medicine | 452 Perkins Extd, Memphis, TN 38117-3802 | 2006-08-20 |
| 1801896881 | Elbert Edwin Hines IIi | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2005-07-29 |
| 1922577386 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 1407 Union Avenue, Suite 305, Memphis, TN 38104 | 2018-11-15 |
| 1255702973 | Tennessee Phs Md LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2015-10-08 |
| 1003162637 | Arvind Reddy Ankireddypalli | Family Medicine | 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104-3555 | 2012-08-01 |
| 1699947713 | Poplar Primary Care PC | Family Medicine | 3445 Poplar Ave, Suite100, Memphis, TN 38111-4667 | 2008-03-28 |
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| 1891096061 | At Home Primary Care Inc | Family Medicine | 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 | 2010-11-04 |
| 1376747691 | Np Care LLC | Family Medicine | 438 North Water Ave, Gallatin Health Care, Gallatin, TN 37066 | 2007-06-12 |
| 1598887473 | Naga Vijaya Oruganti | Family Medicine | 625 N Highland Ave, Murfreesboro, TN 37130-2495 | 2007-04-04 |
| 1932295342 | Larry Wayne Barnes | Family Medicine | 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3672 | 2006-10-04 |
| 1982713053 | Monica K. Crane | Family Medicine | 1400 Dowell Springs Blvd Ste 100, Knoxville, TN 37909-2457 | 2006-08-30 |
| 1225089725 | Rajeev Gupta | Family Medicine | 1621 W Morris Blvd Ste C, Morristown, TN 37813-2832 | 2006-05-12 |
| 1871565465 | Halden Wayne Hooper Jr. | Family Medicine | 1156 Nashville Pike, Gallatin, TN 37066-3110 | 2006-02-07 |
| 1700497302 | Genesis Neuroscience Clinic LLC | Family Medicine | 1400 Dowell Springs Blvd Ste 340, Knoxville, TN 37909-2445 | 2020-08-17 |
| 1700394863 | Starling Medical Practice, LLC | Family Medicine | 1000 E 3rd St Ste 100, Chattanooga, TN 37403-2148 | 2018-01-11 |
| 1376089698 | Genneuro, Pllc | Family Medicine | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2017-01-10 |
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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.