DR. ROBERT E LASTER JR. (NPI# 1609879584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609879584 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E LASTER JR. |
| Credential | MD |
| Practice Address |
6325 Humphreys Blvd Memphis TN 38120-2300 |
| Practice Telephone | 9015227700 |
| Mailing Telephone | 9015227700 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7951 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3193888 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871965319 | Robert Laster | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-10-23 |
| Street Address |
6325 HUMPHREYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083276265 | John Payton Graves Jr. | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-07-08 |
| 1528525201 | Eric Goldberg | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-02-28 |
| 1306310230 | Mary Katherine Norris | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-14 |
| 1659844553 | Lisa Rogers | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-03 |
| 1033681283 | Kelli Chase Patrick | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2018-12-28 |
| 1215455639 | Melanie Laforce | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2017-09-06 |
| 1174047096 | Liwen Zhang | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2017-08-02 |
| 1770025751 | Jill Klosky | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-11-08 |
| 1023568953 | Joelle Harvey | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-10-04 |
| 1336591841 | Sreenath Shanker | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| 1033554589 | Phillip Osborn Flinn | Radiology | 1325 Eastmoreland Ave Ste 545, Memphis, TN 38104-7510 | 2013-05-09 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1720377583 | Adeel Siddiqui | Radiology | 848 Adams Ave Ground Fl, Memphis, TN 38103 | 2011-04-01 |
| 1497055081 | Stephen Lane Gammill Sr. | Radiology | 2935 Iroquois Rd, Memphis, TN 38111-2615 | 2010-10-28 |
| 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.