SRILATHA RAGHUR (NPI# 1952876427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952876427 |
| Entity Type | Individual |
| Full Name | SRILATHA RAGHUR |
| Credential | PA-C |
| Practice Address |
1300 Wesley Dr Memphis TN 38116-6426 |
| Mailing Address |
P O Box 1000 Dept 351 Memphis TN 38148-0001 |
| Practice Telephone | 9015165741 |
| Practice Fax Number | 9015165596 |
| Mailing Telephone | 9015165741 |
| Mailing Fax Number | 9015165596 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
TC763 | KY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 3908 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TC763 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05033505 | 05 | |
| TN | BCBS | 6197540 | 01 |
| Street Address |
1300 WESLEY DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894860 | Corbi D Milligan | Internal Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2006-05-05 |
| 1669009007 | Emily Kyle Logan | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6499 | 2020-03-25 |
| 1326687328 | Joseph Nixon | Physician Assistant | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-12-23 |
| 1245884634 | Holly Elizabeth Loveland | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-07-24 |
| 1073173324 | Amanda Hart | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-06-18 |
| 1306316997 | Rateesha Q Mcleod | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-11-27 |
| 1629562194 | Ebony Lashawn Williams | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-06-19 |
| 1558870014 | Molly West Mungle | Registered Nurse | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-09-27 |
| 1407382492 | Eguosa LLC | Internal Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-05-11 |
| 1891220505 | Sonia Shaukat Shivani | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1134734817 | Siushan Tang Vuong | Physician Assistant | 102 Clark Pl Apt S, Memphis, TN 38104-2419 | 2020-09-10 |
| 1174137525 | Gustavo Adolfo Tangarife Sr. | Physician Assistant | 2193 Morning Vista Dr, Memphis, TN 38134-6018 | 2020-09-02 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1306480868 | Lauren Blum | Physician Assistant | 100 S Greer St, Memphis, TN 38111-3429 | 2019-10-28 |
| 1487135463 | Baron Surgical, Pllc | Physician Assistant | 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 | 2018-08-27 |
| 1083139265 | Huda Alaeddin | Physician Assistant | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2017-08-08 |
| 1982076246 | Richard Randolph | Physician Assistant | 1094 River Isle Dr, Memphis, TN 38103-8870 | 2015-10-27 |
| 1962870808 | Sophia Garrison | Physician Assistant | 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 | 2015-09-09 |
| 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.