MEMPHIS MEN'S CLINIC, PC (NPI# 1174925143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174925143 |
| Entity Type | Organization |
| Organization Name | MEMPHIS MEN'S CLINIC, PC |
| Practice Address |
5050 Poplar Ave Ste 718 Memphis TN 38157-0101 |
| Practice Telephone | 9014430475 |
| Practice Fax Number | 9015092926 |
| Mailing Telephone | 9014430475 |
| Mailing Fax Number | 9015092926 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | MICHAEL SWIERCZ (OWNER) |
| Authorized Official Telephone | 9014430475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5050 POPLAR AVE STE 718 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38157-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145317 | Garrettson S Ellis | Internal Medicine | 5050 Poplar Ave, Suite 800, Memphis, TN 38157-0101 | 2005-06-23 |
| 1952832867 | Tiffany Wright | Nurse Practitioner | 5050 Poplar Ave, Suite 800, Memphis, TN 38157-0101 | 2017-03-22 |
| 1922557909 | Mahmod Abdelghani | Nurse Practitioner | 5050 Poplar Ave, Suite 800, Memphis, TN 38157-0101 | 2016-10-01 |
| 1316317407 | Rha Health Services Tn, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5050 Poplar Ave, Suite 710, Memphis, TN 38157-0101 | 2015-10-01 |
| 1801292081 | Mid-south Home Health, LLC | Chore Provider | 5050 Poplar Ave, Suite #2404, Memphis, TN 38157-0101 | 2014-11-14 |
| 1417353103 | Mid South Senior Care, LLC | In Home Supportive Care | 5050 Poplar Ave, Suite 2400, Memphis, TN 38157-0101 | 2014-11-07 |
| 1427308618 | Alida Novarese Gage | Psychologist | 5050 Poplar Ave, Ste 1632, Memphis, TN 38157-1632 | 2012-09-14 |
| 1033465620 | Methodist Le Bonheur Healthcare Eap | Counselor | 5050 Poplar Ave, Suite # 1118, Memphis, TN 38157-0101 | 2012-08-01 |
| 1023376878 | David Irvin Williams | Internal Medicine | 5050 Poplar Ave, Ste 800, Memphis, TN 38157-0800 | 2012-04-30 |
| 1396938239 | John J Harris Md PC | Psychiatry & Neurology | 5050 Poplar Ave, Suite 618, Memphis, TN 38157-0618 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285869503 | Nathan Eric Wilds | Internal Medicine | 5050 Poplar Ave., Suite 800, Mid-south Pulmonary Specialists, P.C., Memphis, TN 38157 | 2009-05-17 |
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1407813439 | Mark S Ledoux | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2006-04-26 |
| 1912565946 | Veracity Neuroscience LLC | Psychiatry & Neurology | 5050 Poplar Ave Ste 511, Memphis, TN 38157-0500 | 2019-06-04 |
| 1720503659 | Cura Partners, LLC | In Home Supportive Care | 5050 Poplar Ave Ste 535, Memphis, TN 38157-0535 | 2017-08-11 |
| 1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
| 1952667503 | Kimberly Anne Marsh | Internal Medicine | Mid-south Pulmonary Specialists, P.C., 5050 Poplar Ave., Suite 800, Memphis, TN 38157-0800 | 2012-04-09 |
| 1710019930 | Michael Munday | Internal Medicine | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2007-03-12 |
| 1972014942 | Nicholas L Pickett | Nurse Practitioner | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2017-10-18 |
| 1205353224 | Ashley Williford | Nurse Practitioner | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2017-08-30 |
| Find all providers in zip 38157 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1710534029 | Equity Financial, LLC | Specialist/Technologist, Other | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-08-21 |
| 1861579393 | Memphis Area Perfusion (map) | Specialist/Technologist, Other | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1376191783 | Erien Wynne Fryer | Specialist/Technologist, Other | 190 Hatcher Ln Ste B, Clarksville, TN 37043-5989 | 2019-08-28 |
| 1851856512 | Brittany Marie Baker | Specialist/Technologist, Other | 140 Dameron Ave # 1800, Knoxville, TN 37917-6434 | 2019-02-07 |
| 1063864403 | Jennifer Rippetoe Lawrence | Specialist/Technologist, Other | 4267 Turnberry Rd, Lebanon, TN 37090-6503 | 2016-07-11 |
| 1265899959 | Delta Sleep Center Pllc | Specialist/Technologist, Other | 1505 Woodlawn Ave Ste B, Dyersburg, TN 38024-3145 | 2016-01-26 |
| 1255650867 | Darryl Deshawn Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-05-21 |
| 1013128701 | Eva Barrett Beal | Specialist/Technologist, Other | 463 Burnt Hill Rd, Unionville, TN 37180-8604 | 2007-05-24 |
| 1316159031 | Michael Shawn Jarrett | Specialist/Technologist, Other | 915 Poplar Springs Rd, Huntingdon, TN 38344-8867 | 2007-05-04 |
| 1164552832 | Renee Franklin | Specialist/Technologist, Other | 744 School Dr, Tn Dept of Health, Gainesboro, TN 38562-9575 | 2007-03-06 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
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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.