JERRY D HESTON (NPI# 1316054422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316054422 |
| Entity Type | Individual |
| Full Name | JERRY D HESTON |
| Credential | MD |
| Practice Address |
1135 Cully Rd Ste 100 Cordova TN 38018-8503 |
| Mailing Address |
Po Box 1000 Dept 233 Memphis TN 38148-0001 |
| Practice Telephone | 9017581980 |
| Practice Fax Number | 9013098784 |
| Mailing Telephone | 9017581980 |
| Mailing Fax Number | 9013098784 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
014992 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3015362 | 05 |
| Street Address |
1135 CULLY RD STE 100 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407963515 | Constance L Durbin | Psychiatry & Neurology | 1135 Cully Rd, Ste 100, Cordova, TN 38016 | 2006-08-24 |
| 1124259650 | Lori Keith | Psychologist | 1135 Cully Rd, Suite 100, Cordova, TN 38018-8503 | 2009-07-31 |
| 1487828828 | Elizabeth Ann Vannucci | Psychiatry & Neurology | 1135 Cully Rd, Cordova, TN 38018-8503 | 2008-04-16 |
| 1417179805 | Margaret Rose Anello Tom | Psychiatry & Neurology | 1135 Cully Rd, Suite #100, Cordova, TN 38018-8503 | 2007-05-03 |
| 1588769442 | Child & Adolescent Psychiatry Associates | Psychiatry & Neurology | 1135 Cully Rd, #100, Cordova, TN 38016 | 2006-09-14 |
| 1477660587 | Marilyn R Paauola | Social Worker | 1135 Cully Rd, Ste 100, Cordova, TN 38016 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913345 | Providence Psychiatric Services Pllc | Psychiatry & Neurology | 86 Timber Creek Dr Ste 3, Cordova, TN 38018-4284 | 2020-08-18 |
| 1205300852 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 100, Cordova, TN 38018-4289 | 2019-01-16 |
| 1447530530 | Precision Mental Health, LLC | Psychiatry & Neurology | 1175 Vickery Ln, 100, Cordova, TN 38016-0682 | 2011-08-22 |
| 1497966469 | Shubi Razdan Mukatira | Psychiatry & Neurology | 8336 Macon Rd, Cordova, TN 38018-8554 | 2007-05-24 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1316154792 | Zhiqiang Sun | Psychiatry & Neurology | 65 Germantown Ct Ste 210, Cordova, TN 38018 | 2007-05-17 |
| 1639295272 | Audria Kaye Black | Psychiatry & Neurology | 8000 Centerview Parkway, Ste 104, Cordova, TN 38018 | 2007-03-22 |
| 1235247958 | Usha B Swamy | Psychiatry & Neurology | 1176 Vickery Ln Ste 100, Cordova, TN 38016 | 2006-08-25 |
| 1780690230 | Jim Pang Jr. | Psychiatry & Neurology | 65 Germantown Ct Ste 402, Cordova, TN 38018-7290 | 2006-08-01 |
| 1831115419 | Olayinka Olaniyi Akinwumiju | Psychiatry & Neurology | 8130 Country Village Dr Ste 102, Cordova, TN 38016 | 2006-07-15 |
| Find all providers in CORDOVA | ||||
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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.