POPLAR PRIMARY CARE PC (NPI# 1699947713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699947713 |
| Entity Type | Organization |
| Organization Name | POPLAR PRIMARY CARE PC |
| Practice Address |
3445 Poplar Ave Suite100 Memphis TN 38111-4667 |
| Practice Telephone | 9013237651 |
| Mailing Telephone | 9013237651 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | GUMERSINDO LEAL (OWNER) |
| Authorized Official Telephone | 9013237651 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
26031 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3445 POPLAR AVE SUITE100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871548107 | Optometry Group | Optometrist | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 | 2006-05-24 |
| 1871068361 | Northcross Internal Medicine, Pllc | Clinic/Center | 3445 Poplar Ave, Memphis, TN 38111-4667 | 2018-10-10 |
| 1821457334 | Elizabeth Lemley | Nurse Practitioner | 3445 Poplar Ave, Suite 18, Memphis, TN 38111-4667 | 2016-02-12 |
| 1508034950 | Crossroads Chiropractic Pa | Chiropractor | 3445 Poplar Ave, Ste 18, Memphis, TN 38111-4667 | 2008-02-19 |
| 1699706143 | Gary G. Nance | Optometrist | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 | 2006-07-05 |
| 1518900745 | Stueart L Hudsmith | Dentist | 3445 Poplar Ave, #11, Memphis, TN 38111-4667 | 2006-06-14 |
| 1598704371 | Bradley N Hines | Optometrist | 3445 Poplar Ave, Suite 7, Memphis, TN 38111-4667 | 2006-06-06 |
| 1033157763 | Herman L Tacker | Optometrist | 3445 Poplar Ave, Suite #7, Memphis, TN 38111-4667 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1235244450 | Monica Lynn Warhaftig | Family Medicine | 452 Perkins Extd, Memphis, TN 38117-3802 | 2006-08-20 |
| 1801896881 | Elbert Edwin Hines IIi | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2005-07-29 |
| 1922577386 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 1407 Union Avenue, Suite 305, Memphis, TN 38104 | 2018-11-15 |
| 1255702973 | Tennessee Phs Md LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2015-10-08 |
| 1003162637 | Arvind Reddy Ankireddypalli | Family Medicine | 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104-3555 | 2012-08-01 |
| 1083758122 | E E Hines IIi Md, PC | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4701 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891096061 | At Home Primary Care Inc | Family Medicine | 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 | 2010-11-04 |
| 1376747691 | Np Care LLC | Family Medicine | 438 North Water Ave, Gallatin Health Care, Gallatin, TN 37066 | 2007-06-12 |
| 1598887473 | Naga Vijaya Oruganti | Family Medicine | 625 N Highland Ave, Murfreesboro, TN 37130-2495 | 2007-04-04 |
| 1932295342 | Larry Wayne Barnes | Family Medicine | 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3672 | 2006-10-04 |
| 1982713053 | Monica K. Crane | Family Medicine | 1400 Dowell Springs Blvd Ste 100, Knoxville, TN 37909-2457 | 2006-08-30 |
| 1225089725 | Rajeev Gupta | Family Medicine | 1621 W Morris Blvd Ste C, Morristown, TN 37813-2832 | 2006-05-12 |
| 1871565465 | Halden Wayne Hooper Jr. | Family Medicine | 1156 Nashville Pike, Gallatin, TN 37066-3110 | 2006-02-07 |
| 1700497302 | Genesis Neuroscience Clinic LLC | Family Medicine | 1400 Dowell Springs Blvd Ste 340, Knoxville, TN 37909-2445 | 2020-08-17 |
| 1700394863 | Starling Medical Practice, LLC | Family Medicine | 1000 E 3rd St Ste 100, Chattanooga, TN 37403-2148 | 2018-01-11 |
| 1376089698 | Genneuro, Pllc | Family Medicine | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2017-01-10 |
| 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.