POPLAR HEALTHCARE, PLLC (NPI# 1346271251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346271251 |
| Entity Type | Organization |
| Organization Name | POPLAR HEALTHCARE, PLLC |
| Practice Address |
3495 Hacks Cross Rd Memphis TN 38125-8803 |
| Mailing Address |
Po Box 1000 Dept 461 Memphis TN 38148-1000 |
| Practice Telephone | 9015267444 |
| Practice Fax Number | 9015260791 |
| Mailing Telephone | 9015267444 |
| Mailing Fax Number | 9015260791 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MR. JAMES SWEENEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9015267444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3718256 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Charles Lindbergh Blvd, Uniondale, NY 115533631 | 5165125200 | 5165135300 |
| 260 Shoppingway Blvd Ste 7, West Memphis, AR 723011736 | 8703944906 | |
| 6925 Lake Ellenor Dr Ste 2, Orlando, FL 328094631 | 4078889934 | 4078560333 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POPLAR HEALTHCARE, PLLC | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Street Address |
3495 HACKS CROSS RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405746 | Mihaela Onciu | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125 | 2005-05-24 |
| 1720378169 | Cesar Enrique Guerrero | Dermatology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2011-04-18 |
| 1083853006 | Radoslaw Filip Bieniek | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2009-02-14 |
| 1891955845 | Maha Al-khawaja | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2008-06-12 |
| 1235398637 | Richard Lowell Roberts | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2008-06-02 |
| 1942487251 | Chukwuma Onwumere Onyeagocha | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125 | 2008-01-29 |
| 1588840706 | Karla Perrizo | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2008-01-17 |
| 1851591861 | Atef Nagib Hanna | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125 | 2007-07-19 |
| 1659574127 | Richard Shawn Kinsey | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2007-06-11 |
| 1356543441 | Joshua B Tennenbaum | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1033582267 | Aletta Roebuck | Specialist | 2275 Edgewood Cv, Memphis, TN 38104-4357 | 2015-11-10 |
| 1922482967 | Convalescent Home Health Services | Specialist | 2904 Chelsea Ave, Memphis, TN 38108-1705 | 2015-07-18 |
| 1821407859 | Rachel Siegel | Specialist | 430 Essex Pl, Memphis, TN 38120-2422 | 2014-08-04 |
| 1790199180 | Supplemental Specialists | Specialist | 7665 Easterly Ln, Memphis, TN 38125-4313 | 2014-06-13 |
| 1982027769 | Dowen E Synder | Specialist | 6224 Shady Grove Ln, Memphis, TN 38120-3107 | 2014-01-29 |
| 1962845503 | Atlas Health, Pllc | Specialist | 14 N Mclean Blvd, Memphis, TN 38104-2645 | 2013-04-13 |
| 1760725659 | Jyothishree PC | Specialist | 6005 Park Ave Ste 626b, Memphis, TN 38119-5221 | 2013-03-29 |
| 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.