OSH MI PHYSICIANS GROUP, PC (NPI# 1720635790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720635790 |
| Entity Type | Organization |
| Organization Name | OSH MI PHYSICIANS GROUP, PC |
| Other Organization Name | OSH TN PHYSICIANS GROUP, PC |
| Practice Address |
3889 Park Ave Memphis TN 38111-6634 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 9014017140 |
| Practice Fax Number | 9012212250 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | GRIFFIN ROBERT MYERS (CMO) |
| Authorized Official Telephone | 3126008484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | OSH MI PHYSICIANS GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE | 59583 | 01 |
| Other Name | Type Code |
|---|---|
| OSH TN Physicians Group, PC | Other Name - Individual/Organization |
| Street Address |
3889 PARK AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851827323 | Peter Yu | Nurse Practitioner | 3889 Park Ave, Memphis, TN 38111-6634 | 2017-05-03 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1376010850 | Mid-south Geriatrics & Palliative Care Pllc | Clinic/Center | 6027 Walnut Grove Rd Ste 317, Memphis, TN 38120-2128 | 2018-11-01 |
| 1194279505 | Allen Primary Care Medicine | Clinic/Center | 6010 Knight Arnold Road Ext, 1, Memphis, TN 38115-3322 | 2016-08-15 |
| 1487003950 | Family Medic Primary Healthcare Inc | Clinic/Center | 4395 Stage Rd, Memphis, TN 38128-5708 | 2016-06-06 |
| 1912365149 | None | Clinic/Center | 1324 Vinton Ave # 1, Memphis, TN 38104-4558 | 2016-02-02 |
| 1790160117 | Eldra Perry | Clinic/Center | 1750 Madison Ave Ste 401, Memphis, TN 38104-6428 | 2015-07-27 |
| 1659752103 | Community Transition Nurse Care Manager, LLC | Clinic/Center | 1251 Wesley Dr Ste 104, Memphis, TN 38116-6442 | 2015-06-10 |
| 1972920452 | Bonk Internal Medicine,inc. | Clinic/Center | 5575 Poplar Ave Ste 504, Memphis, TN 38119-0821 | 2014-03-24 |
| 1992901128 | Locum Tenens Healthcare | Clinic/Center | 3145 Hickory Hill Rd, Suite 101, Memphis, TN 38115-2533 | 2007-06-25 |
| 1295859312 | Families First Health Care | Clinic/Center | 3699 Riverdale, Memphis, TN 38125 | 2007-03-16 |
| 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.