NORTHCROSS INTERNAL MEDICINE, PLLC (NPI# 1871068361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871068361 |
| Entity Type | Organization |
| Organization Name | NORTHCROSS INTERNAL MEDICINE, PLLC |
| Practice Address |
3445 Poplar Ave Memphis TN 38111-4667 |
| Practice Telephone | 9015237781 |
| Practice Fax Number | 9015237799 |
| Mailing Telephone | 9015237781 |
| Mailing Fax Number | 9015237799 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DR. PHILLIP R NORTHCROSS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9015237781 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3445 POPLAR AVE |
| 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 |
| 1821457334 | Elizabeth Lemley | Nurse Practitioner | 3445 Poplar Ave, Suite 18, Memphis, TN 38111-4667 | 2016-02-12 |
| 1699947713 | Poplar Primary Care PC | Family Medicine | 3445 Poplar Ave, Suite100, Memphis, TN 38111-4667 | 2008-03-28 |
| 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 | 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.