MICHAEL TREVOR HOUSEAL


Address: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542
Phone: 9012726030

MICHAEL TREVOR HOUSEAL (NPI# 1518519057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518519057
Entity Type Individual
Full Name MICHAEL TREVOR HOUSEAL
Credential PA-C
Practice Address 1325 Eastmoreland Ave Ste 365
Memphis
TN 38104-7542
Mailing Address P O Box 1000 Dept 960
Memphis
TN 38148-0001
Practice Telephone 9012726030
Practice Fax Number 9015168450
Mailing Telephone 9012726030
Mailing Fax Number 9015168450
Enumeration Date 2019-07-15
Last Update Date 2019-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3903 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7655 Poplar Ave Ste 350, Germantown, TN 381384933 9017612470 9017674898

Office Location

Street Address 1325 EASTMORELAND AVE STE 365
City MEMPHIS
State TN
Zip Code 38104-7542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407026859 Belinda D Frost Nurse Practitioner 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2008-02-29
1891340154 Lauren Elizabeth Whitley Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-08-05
1073022133 Fariborz A Yaghini Nurse Practitioner 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2017-09-21
1366891830 Emmitt Matthew Blankenship Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2016-06-06
1265897789 Justin B Cole Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2015-12-28

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568910560 Erica Troia Comstock Physician Assistant 7193 Farnham Rd, Memphis, NY 13112-8764 2016-09-19
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1831361948 F & P Certified Surgical Assistants LLC Physician Assistant 4793 Northwood Hills Cv, Memphis, TN 38128-1632 2008-03-28
1265619118 Jerry Emerson Shaw Physician Assistant 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 2008-01-23
1508974700 Mary E Bruce Physician Assistant 890 Madison Ave, Memphis, TN 38103-3409 2006-08-28
1427683796 Madison Barry Physician Assistant 877 Jefferson Ave, Memphis, TN 38103-2807 2020-03-07
1891340154 Lauren Elizabeth Whitley Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-08-05
1427571850 Kristen Kaplon Physician Assistant 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 2017-07-18
1316485667 Kathryn Lee Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2017-02-07
1700331527 Ted James Hegner Physician Assistant 6005 Park Ave Ste 802, Memphis, TN 38119-5218 2016-08-22
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

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.

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