CHS TENNESSEE MEDICAL P C (NPI# 1144851858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144851858 |
| Entity Type | Organization |
| Organization Name | CHS TENNESSEE MEDICAL P C |
| Other Organization Name | LIVING WELL HEALTH & WELLNESS CENTER |
| Practice Address |
262 Danny Thomas Pl Memphis TN 38105-3678 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 9015959355 |
| Practice Fax Number | 9015951595 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Living Well Health & Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1457833378 | Chs Tennessee Medical P C | Clinic/Center | 2200 Nw Brickyard Rd, Topeka, KS 66618-2814 | 2018-09-06 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1548757933 | Chs Tennessee Medical P C | Clinic/Center | 1 Nissan Way, Franklin, TN 37067-6367 | 2018-04-20 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1073901344 | Chs Tennessee Medical P C | Clinic/Center | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2015-01-08 |
| 1346426947 | Chs Tennessee Medical P C | Clinic/Center | 1200 Fleetguard Rd, Cookeville, TN 38506-6258 | 2008-01-14 |
| 1336740414 | Chs Tennessee Medical P C | Clinic/Center | 2400 Denso Dr, Athens, TN 37303-7835 | 2020-11-04 |
| Street Address |
262 DANNY THOMAS PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1023618907 | James Michael Burgess | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-10-29 |
| 1669098273 | Cassandra Gerhart | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-06-19 |
| 1275152589 | Katherine Farabee Bailey | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-04-16 |
| 1285274639 | Alise Murray | Genetic Counselor, MS | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-14 |
| 1053951566 | Mary Margaret Benson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-13 |
| 1164062071 | Erma Louise Davis | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-08 |
| 1821637216 | Heather Gaye Havens | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-02 |
| 1811534837 | Cody Elizabeth Mcmillan | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-09 |
| 1023655461 | Ashley Garrett Mctyre | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914285 | Methodist Physician Practice LLC | Clinic/Center | 1211 Union Ave Ste 330, Memphis, TN 38104-6655 | 2020-08-26 |
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1275073801 | Chs Tennessee Medical PC | Clinic/Center | 5106 Tradeport Dr, Memphis, TN 38141-8235 | 2017-03-01 |
| 1780073270 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3140 Tchulahoma Rd, Suite 1-4, Memphis, TN 38118-2722 | 2015-01-21 |
| 1518143692 | University of Memphis | Clinic/Center | 119 Patterson Hall, Main Office, Memphis, TN 38152-3510 | 2008-01-18 |
| 1154793727 | Your Community Health & Wellness | Clinic/Center | 1087 Alice Ave, Memphis, TN 38106-6543 | 2015-10-22 |
| 1700276169 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2015-01-23 |
| 1831320076 | Memphis Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| 1104057348 | Tennessee Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| 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.