MEMPHIS RADIOLOGICAL, PC (NPI# 1457350514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457350514 |
| Entity Type | Organization |
| Organization Name | MEMPHIS RADIOLOGICAL, PC |
| Other Organization Name | P.E.T. IMAGING CENTER |
| Practice Address |
1388 Madison Ave Memphis TN 38104-2327 |
| Mailing Address |
Po Box 341881 Memphis TN 38184-1881 |
| Practice Telephone | 9012766413 |
| Mailing Telephone | 9012912400 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. RICHARD M FLEMING (MANAGING DIRECTOR) |
| Authorized Official Telephone | 9016852696 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
========= | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3370136 | 05 |
| Other Name | Type Code |
|---|---|
| P.E.T. IMAGING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359416 | Memphis Radiological, PC | Internal Medicine | 1265 Union Ave, Memphis, TN 38104-3415 | 2005-07-13 |
| Street Address |
1388 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719110 | Central Memphis Regional Pet Imaging Center, LLC | Clinic/Center | 1388 Madison Ave, Memphis, TN 38104-2327 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134234529 | Mohammed Moinuddin | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1659338861 | James W Langston | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877035 | Caney Fork Radiology, Pllc | Radiology | 200 Signature Pl, Lebanon, TN 37087-3281 | 2007-08-21 |
| 1891735247 | Association of University Radiologists, PC | Radiology | 11440 Parkside Dr Ste 204, Knoxville, TN 37934-2658 | 2006-06-07 |
| 1023008943 | Jerry M Brown | Radiology | 507 Rocky Top Dr, Columbia, TN 38401-2563 | 2005-10-21 |
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1679614440 | Association of University Radiologists, PC | Radiology | 851 Locust St, Rogersville, TN 37857-2407 | 2007-02-12 |
| 1679620561 | Chirayu Shah | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2007-01-04 |
| 1851478747 | Beata Panzegrau | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203-1606 | 2006-11-01 |
| 1619088697 | Association of University Radiologists, PC | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-08-31 |
| 1114998366 | Yong C Bradley | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-01-27 |
| 1154391852 | Stephanie E Spottswood | Radiology | 2200 Childrens Way, Ste 1418, Nashville, TN 37232-9700 | 2006-01-25 |
| Find all providers with the same taxonomy | ||||
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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.