LIWEN ZHANG (NPI# 1174047096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174047096 |
| Entity Type | Individual |
| Full Name | LIWEN ZHANG |
| Credential | PA |
| Practice Address |
6325 Humphreys Blvd Memphis TN 38120-2300 |
| Practice Telephone | 9015227700 |
| Mailing Telephone | 9015227700 |
| Mailing Fax Number | 9015222600 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3457 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6325 HUMPHREYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879584 | Robert E Laster Jr. | Radiology | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2005-05-24 |
| 1083276265 | John Payton Graves Jr. | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-07-08 |
| 1528525201 | Eric Goldberg | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-02-28 |
| 1306310230 | Mary Katherine Norris | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-14 |
| 1659844553 | Lisa Rogers | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-03 |
| 1033681283 | Kelli Chase Patrick | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2018-12-28 |
| 1215455639 | Melanie Laforce | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2017-09-06 |
| 1770025751 | Jill Klosky | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-11-08 |
| 1023568953 | Joelle Harvey | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-10-04 |
| 1336591841 | Sreenath Shanker | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-07-08 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1134734817 | Siushan Tang Vuong | Physician Assistant | 102 Clark Pl Apt S, Memphis, TN 38104-2419 | 2020-09-10 |
| 1174137525 | Gustavo Adolfo Tangarife Sr. | Physician Assistant | 2193 Morning Vista Dr, Memphis, TN 38134-6018 | 2020-09-02 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1306480868 | Lauren Blum | Physician Assistant | 100 S Greer St, Memphis, TN 38111-3429 | 2019-10-28 |
| 1487135463 | Baron Surgical, Pllc | Physician Assistant | 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 | 2018-08-27 |
| 1083139265 | Huda Alaeddin | Physician Assistant | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2017-08-08 |
| 1982076246 | Richard Randolph | Physician Assistant | 1094 River Isle Dr, Memphis, TN 38103-8870 | 2015-10-27 |
| 1962870808 | Sophia Garrison | Physician Assistant | 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 | 2015-09-09 |
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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.