DOUGLAS LAWRENCE O'DEA (NPI# 1316974132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316974132 |
| Entity Type | Individual |
| Full Name | DOUGLAS LAWRENCE O'DEA |
| Credential | M.D. |
| Practice Address |
7378 Yale Rd Bartlett TN 38133-3604 |
| Mailing Address |
Po Box 902, Dept 100 Memphis TN 38101-0902 |
| Practice Telephone | 9013870193 |
| Practice Fax Number | 9013870796 |
| Mailing Telephone | 9017572791 |
| Mailing Fax Number | 9017579065 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD0000018194 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3027190 | 05 | |
| TN | BLUECROSS OF TENNESSEE | 0108564 | 01 |
| Street Address |
7378 YALE RD |
| City | BARTLETT |
| State | TN |
| Zip Code | 38133-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941645 | Rachael O'dea | Nurse Practitioner | 7378 Yale Rd, Bartlett, TN 38133-3604 | 2020-10-27 |
| 1831474485 | Myles B Benjamin | Registered Nurse | 7378 Yale Rd, Suite A, Bartlett, TN 38133-3604 | 2011-10-14 |
| 1124059365 | Debora Dean Dowda | Nurse Practitioner | 7378 Yale Rd, Bartlett, TN 38133-3604 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| 1649444365 | Elizabeth Carolyn Elliott | Internal Medicine | 7424 Us Highway 64 Ste 111, Bartlett, TN 38133 | 2008-04-14 |
| 1144434580 | Helping Hands Medical Clinics, PC | Internal Medicine | 9110 Anderton Springs Cv, Bartlett, TN 38133-0900 | 2007-05-09 |
| 1508930736 | Raj Patel | Internal Medicine | 385 Bartlett Plz, Bartlett, IL 60103-4234 | 2006-11-20 |
| 1770675704 | Scott Bell | Internal Medicine | 6630 Summer Knoll Cir Ste 101, Bartlett, TN 38134-2926 | 2006-09-28 |
| 1851494462 | Jerry Morgan Holley | Internal Medicine | 6570 Summer Oaks Cove, Bartlett, TN 38134 | 2006-09-07 |
| 1720195100 | Ellen R Kochman-simon | Internal Medicine | 1054 Norwood Ln, Bartlett, IL 60103-4556 | 2006-08-23 |
| 1508875733 | Venkatachalam Ayyagari | Internal Medicine | 2784 Bartlett Blvd, Bartlett, TN 38134-4530 | 2006-08-05 |
| 1366465577 | Kenneth E Albrecht | Internal Medicine | 142 Cedarfield Dr, Bartlett, IL 60103-1313 | 2006-07-26 |
| 1578507661 | Forrest C Ward | Internal Medicine | 6644 Summer Knoll Cir, Bartlett, TN 38134-2875 | 2006-06-16 |
| Find all providers in BARTLETT | ||||
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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.