NEWSTART FAMILY AND OBSTETRICAL CARE, LLC (NPI# 1578813531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578813531 |
| Entity Type | Organization |
| Organization Name | NEWSTART FAMILY AND OBSTETRICAL CARE, LLC |
| Practice Address |
3530 Hickory Hill Rd Memphis TN 38115-3840 |
| Practice Telephone | 9018816686 |
| Mailing Telephone | 9018816686 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | DR. CARL F PEAN (OWNER) |
| Authorized Official Telephone | 9018816686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 30641 | TN | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
30641 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3375525 | 05 |
| Street Address |
3530 HICKORY HILL RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461002 | Carl F Pean | Family Medicine | 3530 Hickory Hill Rd, Memphis, TN 38115-3840 | 2006-05-08 |
| 1003344953 | Teri Williams | Nurse Practitioner | 3530 Hickory Hill Rd, Memphis, TN 38115-3840 | 2017-05-23 |
| 1821402561 | Deborah Roquiz | Family Medicine | 3530 Hickory Hill Rd, Memphis, TN 38115-3840 | 2014-06-19 |
| 1033210604 | Hickory Hill Family Medical Clinic | Family Medicine | 3530 Hickory Hill Rd, Memphis, TN 38115-3827 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
| 1588715254 | Deidrea Latrice Grandberry | Obstetrics & Gynecology | 7705 Poplar Ave, Ste 150 Bldg B, Memphis, TN 38138-3930 | 2007-01-16 |
| 1669575064 | Joseph Keith Lawrence | Obstetrics & Gynecology | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2006-09-07 |
| 1609985522 | Corey Shane Mcglothan | Obstetrics & Gynecology | 1264 Wesley Dr, Ste 402, Memphis, TN 38116-6400 | 2006-08-30 |
| 1033121413 | Claudia Leonard Moise | Obstetrics & Gynecology | 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120-2367 | 2006-08-13 |
| 1245242221 | Marva L Souder | Obstetrics & Gynecology | 2900 Kirby Rd, Suite 11, Memphis, TN 38119-8221 | 2006-08-11 |
| 1710998729 | Susan Northern Lacy | Obstetrics & Gynecology | 6401 Poplar Ave Ste 530, Memphis, TN 38119-4840 | 2006-08-11 |
| 1972514578 | Jessica M. Ruffin | Obstetrics & Gynecology | 1727 Kirby Parkway, Suite 200, Memphis, TN 38120 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
| 1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
| 1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
| 1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
| 1104242262 | Stephanie Huskins | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEWSTART FAMILY AND OBSTETRICAL CARE, LLC.
| 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.