GINA R. HANISSIAN (NPI# 1710053327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710053327 |
| Entity Type | Individual |
| Full Name | GINA R. HANISSIAN |
| Credential | MD |
| Practice Address |
574 Greentree Cove Suite 101 Collierville TN 38017 |
| Mailing Address |
6799 Great Oaks Rd #250 Suite 250 Memphis TN 38138 |
| Practice Telephone | 9018532021 |
| Practice Fax Number | 9018532434 |
| Mailing Telephone | 9012610700 |
| Mailing Fax Number | 9012610701 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2010-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31681 | TN | Allopathic & Osteopathic Physicians |
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
31681 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 31681 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS PROVIDER | 4036588 | 01 |
| Street Address |
574 GREENTREE COVE SUITE 101 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730523986 | Keerthi Gadiparthi Heckle | Internal Medicine | 1500 W Poplar Ave Ste 202, Collierville, TN 38017 | 2013-04-18 |
| 1063764595 | Midsouth Intenal Medicine Associates, PC | Internal Medicine | 208 Ivy Brook Ln, Collierville, TN 38017-8791 | 2012-10-08 |
| 1346445368 | Nwannem Obi-okoye | Internal Medicine | 9200 Forest Island Dr N, Collierville, TN 38017-3668 | 2007-06-19 |
| 1851479059 | John Francis O Connell | Internal Medicine | 131 Garner Grove Cove, Collierville, TN 38017-9763 | 2006-11-02 |
| 1477642817 | Pushpanshu Pushpanshu | Internal Medicine | 495 Hunters Mill Cv, Va North Clinic, Collierville, TN 38017-2434 | 2006-10-12 |
| 1326154501 | T George Stoev | Internal Medicine | 526 Halle Park Drive, Collierville, TN 38017-7085 | 2006-08-21 |
| 1487674644 | Scott A Boone | Internal Medicine | 1726 Higginson Sq, Collierville, TN 38017 | 2006-07-20 |
| 1720025158 | Bindu Betapudi | Internal Medicine | 1581 Brackenshire Ln, Collierville, TN 38017-2441 | 2006-06-02 |
| 1316996572 | Kristy Lynn Bryan | Internal Medicine | 1500 West Poplar Avenue, Suite 202, Collierville, TN 38017 | 2006-05-08 |
| 1356341762 | Mark Charles Vlasak | Internal Medicine | 1164 W Poplar Ave, Collierville, TN 38017-3196 | 2005-07-28 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on GINA R. HANISSIAN.
| 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.