DR. FRED W PEETE JR. (NPI# 1265089122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265089122 |
| Entity Type | Individual |
| Full Name | DR. FRED W PEETE JR. |
| Credential | DC |
| Practice Address |
3179 Poplar Ave Memphis TN 38111-3501 |
| Mailing Address |
3615 S Houston Levee Rd Ste 110 Collierville TN 38017-9173 |
| Practice Telephone | 9012217173 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3230 | TN | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2690 Kirby Whitten Rd 38133, Memphis, TN 38133 | 9012217173 | |
| 3615 South Houston Leeve Rd, Collierville, TN 38017 | 9012217173 |
| Street Address |
3179 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811466279 | The Chiro Place of Midtown Pllc | Chiropractor | 3179 Poplar Ave, Memphis, TN 38111-3501 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992329569 | Berardi Enterprises | Chiropractor | 6450 Poplar Ave Ste 113, Memphis, TN 38119-4882 | 2020-05-30 |
| 1740832823 | Tennessee Spine and Joint Pllc | Chiropractor | 5154 Stage Rd Ste 101, Memphis, TN 38134-3118 | 2019-07-10 |
| 1831751122 | Ortman Chiropractic Pllc | Chiropractor | 2400 Poplar Ave Ste 211, Memphis, TN 38112-3209 | 2019-07-08 |
| 1821556242 | Chiro Place of Bartlett PC | Chiropractor | 2690 Kirby Whitten Rd, Memphis, TN 38133-4741 | 2019-03-05 |
| 1972061596 | Elite Medical Memphis | Chiropractor | 2400 Poplar Ave Ste 211a, Memphis, TN 38112-3209 | 2019-03-04 |
| 1811466279 | The Chiro Place of Midtown Pllc | Chiropractor | 3179 Poplar Ave, Memphis, TN 38111-3501 | 2018-11-15 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1518313980 | Chiro Memphis Dream Center | Chiropractor | 255 N Highland St, Memphis, TN 38111-4745 | 2016-05-04 |
| 1922479351 | Midtown Chiropractic | Chiropractor | 204 N Evergreen St, Memphis, TN 38112-5210 | 2015-10-12 |
| 1982009569 | Shane Michael Wilson | Chiropractor | 938 Wrens Roost Cir, 2, Memphis, TN 38119-0510 | 2014-10-25 |
| 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.