METHODIST PHYSICIAN PRACTICE LLC (NPI# 1952914285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952914285 |
| Entity Type | Organization |
| Organization Name | METHODIST PHYSICIAN PRACTICE LLC |
| Practice Address |
1211 Union Ave Ste 330 Memphis TN 38104-6655 |
| Mailing Address |
1211 Union Ave Ste 700 Memphis TN 38104-6600 |
| Practice Telephone | 9014780954 |
| Practice Fax Number | 9014780951 |
| Mailing Telephone | 9014780954 |
| Mailing Fax Number | 9014780951 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | COLLIN COSTELLO (CFO) |
| Authorized Official Telephone | 9014780889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1211 UNION AVE STE 330 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1275073801 | Chs Tennessee Medical PC | Clinic/Center | 5106 Tradeport Dr, Memphis, TN 38141-8235 | 2017-03-01 |
| 1780073270 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3140 Tchulahoma Rd, Suite 1-4, Memphis, TN 38118-2722 | 2015-01-21 |
| 1518143692 | University of Memphis | Clinic/Center | 119 Patterson Hall, Main Office, Memphis, TN 38152-3510 | 2008-01-18 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| 1154793727 | Your Community Health & Wellness | Clinic/Center | 1087 Alice Ave, Memphis, TN 38106-6543 | 2015-10-22 |
| 1700276169 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2015-01-23 |
| 1831320076 | Memphis Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| 1104057348 | Tennessee Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on METHODIST PHYSICIAN PRACTICE LLC.
| 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.