{ "result_count": 104, "results": [ { "addresses": [ { "address_1": "6005 PARK AVE STE 1004B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-249-7335", "postal_code": "381195225", "state": "TN", "telephone_number": "901-405-1726" }, { "address_1": "6005 PARK AVE STE 1004B", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-249-7335", "postal_code": "381195225", "state": "TN", "telephone_number": "901-405-1726" } ], "basic": { "certification_date": "2020-01-29", "credential": "M.D.", "enumeration_date": "2005-06-17", "first_name": "JAMES", "last_name": "ADAMS", "last_updated": "2020-01-29", "middle_name": "W", "name_suffix": "II", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1119031733000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3016740", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1580330529000", "number": "1649275322", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "16135", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-02-17", "credential": "MD", "enumeration_date": "2005-11-04", "first_name": "ROBERT", "last_name": "AGUILLARD", "last_updated": "2020-02-17", "middle_name": "NEAL", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131122107000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3013886", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1581973604000", "number": "1659362960", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "15930", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "15930", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "15930", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "11234 ANDERSON ST RM 1516B", "address_purpose": "MAILING", "address_type": "DOM", "city": "LOMA LINDA", "country_code": "US", "country_name": "United States", "postal_code": "923501716", "state": "CA", "telephone_number": "909-558-2962" }, { "address_1": "11234 ANDERSON ST # A600", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LOMA LINDA", "country_code": "US", "country_name": "United States", "postal_code": "923503614", "state": "CA", "telephone_number": "909-558-2262" } ], "basic": { "certification_date": "2025-08-22", "credential": "MD", "enumeration_date": "2016-05-10", "first_name": "LAMIA", "last_name": "ALJUNDI", "last_updated": "2025-08-22", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1462904880000", "endpoints": [ { "address_1": "835 S Van Buren St", "address_type": "DOM", "affiliation": "Y", "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis", "city": "Green Bay", "contentOtherDescription": "CDA/CCD/TXT", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "laljundi401218@ewd.direct.hshs.org", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "543013526", "state": "WI", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1755887695000", "number": "1780030619", "other_names": [], "practiceLocations": [ { "address_1": "956 COURT AVENUE SUITE H316B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381632148", "state": "TN", "telephone_number": "313-343-7784" }, { "address_1": "956 COURT AVENUE SUITE H316B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381632148", "state": "TN", "telephone_number": "313-343-7784" }, { "address_1": "G3252 BEECHER RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FLINT", "country_code": "US", "country_name": "United States", "fax_number": "810-230-0715", "postal_code": "485323614", "state": "MI", "telephone_number": "810-230-6800" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "4301109522", "primary": false, "state": "MI", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "A194879", "primary": true, "state": "CA", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "3363-320", "primary": false, "state": "WI", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "MD", "enumeration_date": "2005-11-07", "first_name": "JAMES", "last_name": "ANDREWS", "last_updated": "2019-11-12", "middle_name": "M", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131398827000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3865556", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1573597225000", "number": "1255312336", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "16560", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "16560", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "16560", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-06-03", "credential": "MD", "enumeration_date": "2007-09-24", "first_name": "OBAID", "last_name": "AWAN", "last_updated": "2022-06-03", "middle_name": "UR REHMAN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1190661461000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q009571", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1654287680000", "number": "1831385780", "other_names": [], "practiceLocations": [ { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "51385", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "51385", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-07-22", "credential": "M.D", "enumeration_date": "2016-06-28", "first_name": "ALI", "last_name": "AZIM", "last_updated": "2022-07-22", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1467146319000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1658503101000", "number": "1780035030", "other_names": [], "practiceLocations": [ { "address_1": "401 SOUTHCREST CIR STE 212", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-349-5974", "postal_code": "386716721", "state": "MS", "telephone_number": "662-349-0488" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "29661", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "65282", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "29661", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "29661", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "65282", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "65282", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-5699", "postal_code": "381202177", "state": "TN", "telephone_number": "901-227-7463" }, { "address_1": "255 BAPTIST BLVD", "address_2": "SUITE 301", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLUMBUS", "country_code": "US", "country_name": "United States", "fax_number": "662-244-2780", "postal_code": "397052011", "state": "MS", "telephone_number": "662-244-2781" } ], "basic": { "authorized_official_first_name": "DONALD", "authorized_official_last_name": "POUNDS", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9012277463", "authorized_official_title_or_position": "CFO Senior Vice President", "enumeration_date": "2008-07-03", "last_updated": "2009-05-26", "organization_name": "BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI", "organizational_subpart": "YES", "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI", "status": "A" }, "created_epoch": "1215091146000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "01236009", "issuer": null, "state": "MS" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "DC4382", "issuer": "Railroad Medicare", "state": null } ], "last_updated_epoch": "1243357619000", "number": "1851554539", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-5699", "postal_code": "381202177", "state": "TN", "telephone_number": "901-227-7463" }, { "address_1": "2301 S LAMAR BLVD", "address_2": "SUITE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "fax_number": "662-513-9673", "postal_code": "386555373", "state": "MS", "telephone_number": "662-234-0119" } ], "basic": { "authorized_official_first_name": "DONALD", "authorized_official_last_name": "POUNDS", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9012277463", "authorized_official_title_or_position": "CFO Senior Vice President", "enumeration_date": "2010-01-19", "last_updated": "2010-07-16", "organization_name": "BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI", "organizational_subpart": "YES", "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH SERVICES INC OF MISSISSIPPI", "status": "A" }, "created_epoch": "1263934611000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "06902277", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1279315907000", "number": "1861723652", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-5699", "postal_code": "381202177", "state": "TN", "telephone_number": "901-227-7463" }, { "address_1": "255 BAPTIST BLVD", "address_2": "SUITE 305", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLUMBUS", "country_code": "US", "country_name": "United States", "fax_number": "662-244-2889", "postal_code": "397052011", "state": "MS", "telephone_number": "662-244-2288" } ], "basic": { "authorized_official_first_name": "DONALD", "authorized_official_last_name": "POUNDS", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9012277463", "authorized_official_title_or_position": "CFO Senior Vice President", "enumeration_date": "2006-08-17", "last_updated": "2010-07-16", "organization_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1155817582000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "02886209", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "02933268", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "05021538", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "05071528", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "07325029", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "09274328", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "09784721", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1279312974000", "number": "1063525434", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RI0011X", "desc": "Internal Medicine, Interventional Cardiology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "231H00000X", "desc": "Audiologist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RH0003X", "desc": "Internal Medicine, Hematology & Oncology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363AS0400X", "desc": "Physician Assistant, Surgical", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207YX0602X", "desc": "Otolaryngology, Otolaryngic Allergy", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208000000X", "desc": "Pediatrics", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LA2200X", "desc": "Nurse Practitioner, Adult Health", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208G00000X", "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-07-13", "credential": "M.D.", "enumeration_date": "2010-04-26", "first_name": "JULIA", "last_name": "BARTON", "last_updated": "2022-07-13", "middle_name": "H", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1272306983000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1657724339000", "number": "1609193093", "other_names": [ { "code": "1", "credential": "MD", "first_name": "JULIA", "last_name": "HERMAN", "middle_name": "C", "type": "Former Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "55864", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1211 UNION AVE", "address_2": "SUITE 120", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381046638", "state": "TN", "telephone_number": "901-725-5533" }, { "address_1": "1211 UNION AVE", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381046638", "state": "TN", "telephone_number": "901-725-5533" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "RICHARD", "authorized_official_last_name": "BOSWELL", "authorized_official_middle_name": "L", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9017255533", "authorized_official_title_or_position": "Director", "enumeration_date": "2006-07-29", "last_updated": "2009-02-17", "organization_name": "BELLEVUE PULMONARY ASSOCIATES PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1154200870000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "09013379", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "3384031", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "80872", "issuer": "BCBS of AR", "state": "AR" } ], "last_updated_epoch": "1234900918000", "number": "1720093859", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "3557 S GALLOWAY DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-324-6355", "postal_code": "381116816", "state": "TN", "telephone_number": "901-371-6666" }, { "address_1": "3557 S GALLOWAY DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-324-6355", "postal_code": "381116816", "state": "TN", "telephone_number": "901-371-6666" } ], "basic": { "credential": "MD", "enumeration_date": "2005-11-04", "first_name": "JOSEPH", "last_name": "BLYTHE", "last_updated": "2015-06-19", "middle_name": "A", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131123339000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3178722", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1434756077000", "number": "1689665903", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "7632", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RH0002X", "desc": "Internal Medicine, Hospice and Palliative Medicine", "license": "7632", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3557 S GALLOWAY DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-324-6355", "postal_code": "381116816", "state": "TN", "telephone_number": "901-327-0731" }, { "address_1": "3557 S GALLOWAY DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-324-6355", "postal_code": "381116816", "state": "TN", "telephone_number": "901-327-0731" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "JOSEPH", "authorized_official_last_name": "BLYTHE", "authorized_official_middle_name": "A.", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9013270731", "authorized_official_title_or_position": "MD/Owner", "enumeration_date": "2010-03-03", "last_updated": "2010-03-03", "organization_name": "BLYTHE MEDICAL SERVICES", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1267642388000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1267642388000", "number": "1144543281", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "7632", "primary": true, "state": "TN", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-12-12", "first_name": "RICHARD", "last_name": "BOSWELL", "last_updated": "2019-11-12", "middle_name": "L", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1134426997000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00119087", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "31601101", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1573599026000", "number": "1679558779", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD7460", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "7460", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2026-04-16", "enumeration_date": "2018-04-02", "first_name": "ANDREW", "last_name": "BRADSHER", "last_updated": "2026-04-16", "middle_name": "JOSEPH", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1522694776000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1776343712000", "number": "1366948028", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "73572", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "73572", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "1500 W POPLAR AVE", "address_2": "STE 206", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLLIERVILLE", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "380170601", "state": "TN", "telephone_number": "901-850-1170" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-21", "first_name": "JOY", "last_name": "BURBECK", "last_updated": "2011-11-08", "middle_name": "C", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119370646000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1320767944000", "number": "1578569034", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md27072", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "md27072", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1331 UNION AVE STE 1000", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381043513", "state": "TN", "telephone_number": "901-679-0509" }, { "address_1": "4191 BLACKSMITH CV", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381252611", "state": "TN" } ], "basic": { "authorized_official_credential": "RCP", "authorized_official_first_name": "ROBERT", "authorized_official_last_name": "FARMER", "authorized_official_telephone_number": "9016790509", "authorized_official_title_or_position": "Chief Operating Officer", "certification_date": "2023-01-24", "enumeration_date": "2017-06-12", "last_updated": "2023-01-24", "organization_name": "CARE ONE MEDICAL SOLUTIONS, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1497313635000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1674619461000", "number": "1679003750", "other_names": [ { "code": "3", "organization_name": "CARE ONE MEDICAL SOLUTIONS", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "163WG0000X", "desc": "Registered Nurse, General Practice", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "163WW0000X", "desc": "Registered Nurse, Wound Care", "license": "95073", "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2278S1500X", "desc": "Respiratory Therapist, Certified, SNF/Subacute Care", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2279P1005X", "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation", "license": "3995", "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2279P1005X", "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363L00000X", "desc": "Nurse Practitioner", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "343900000X", "desc": "Non-emergency Medical Transport (VAN)", "license": null, "primary": true, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "641 RB WILSON DR STE F", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HUNTINGDON", "country_code": "US", "country_name": "United States", "fax_number": "731-968-7452", "postal_code": "383441734", "state": "TN", "telephone_number": "731-986-7450" } ], "basic": { "certification_date": "2026-01-05", "credential": "M.D.", "enumeration_date": "2005-10-20", "first_name": "JAMES", "last_name": "CARRUTH", "last_updated": "2026-01-05", "middle_name": "C.", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1129827874000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0007692051", "issuer": "Aetna", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "3041772", "issuer": "BCBS TN", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3807536", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "621582944", "issuer": "Tax ID-Commercial", "state": "TN" } ], "last_updated_epoch": "1767640751000", "number": "1659360733", "other_names": [], "practiceLocations": [ { "address_1": "300 HOSPITAL CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PARIS", "country_code": "US", "country_name": "United States", "fax_number": "731-641-2764", "postal_code": "382424597", "state": "TN", "telephone_number": "731-641-2765" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "22079", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "100 HOSPITAL ST", "address_2": "SUITE 300", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BOONEVILLE", "country_code": "US", "country_name": "United States", "fax_number": "662-720-3050", "postal_code": "388293354", "state": "MS", "telephone_number": "668-728-2147" }, { "address_1": "965 RIDGE LAKE BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN", "telephone_number": "901-227-4692" } ], "basic": { "certification_date": "2025-01-28", "credential": "M.D.", "enumeration_date": "2006-03-20", "first_name": "DAVID", "last_name": "CHASE", "last_updated": "2025-01-28", "middle_name": "G", "name_prefix": "Dr.", "name_suffix": "Sr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1142885482000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "09015803", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1738101258000", "number": "1588623532", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "07824", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "07824", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2023-03-27", "credential": "M.D.", "enumeration_date": "2007-06-12", "first_name": "RAVIS", "last_name": "CURRY", "last_updated": "2023-03-27", "middle_name": "BEDNARICK", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1181653550000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1679951394000", "number": "1255535613", "other_names": [], "practiceLocations": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "2100 N 7TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEST MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-5145", "postal_code": "723012017", "state": "AR", "telephone_number": "870-394-7800" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "E-5703", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "29006", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "E-5703", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD44770", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "29006", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "44770", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "MD", "enumeration_date": "2005-11-07", "first_name": "PAUL", "last_name": "DEATON", "last_updated": "2019-11-12", "middle_name": "R.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131398890000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3076031", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1573599179000", "number": "1235110313", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "24559", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "24559", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6263 POPLAR AVE", "address_2": "SUITE 1052", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38119", "state": "TN", "telephone_number": "901-844-1431" }, { "address_1": "PO BOX 17806", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-761-4145", "postal_code": "381870806", "state": "TN", "telephone_number": "901-844-1431" } ], "basic": { "certification_date": "2022-10-10", "credential": "M.D.", "enumeration_date": "2006-07-08", "first_name": "LOUIS", "last_name": "EBERLE", "last_updated": "2022-10-10", "middle_name": "V", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1152414317000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "3072481", "issuer": "BCBS of TN", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3816477", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1665439136000", "number": "1326071804", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD18040", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "MD18040", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3030 HARDEN BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LAKELAND", "country_code": "US", "country_name": "United States", "postal_code": "338037952", "state": "FL", "telephone_number": "863-687-1222" }, { "address_1": "956 COURT AVE STE H314A", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032822", "state": "TN", "telephone_number": "901-448-5737" } ], "basic": { "certification_date": "2022-11-03", "credential": "M.D.", "enumeration_date": "2013-03-28", "first_name": "MOHAMMAD", "last_name": "ELBALLAT", "last_updated": "2022-11-03", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1364487690000", "endpoints": [ { "address_1": "3030 Harden Blvd", "address_type": "DOM", "affiliation": "N", "city": "Lakeland", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "melballat50601@LRHS.direct-ci.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "338037952", "state": "FL", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1667505151000", "number": "1700129780", "other_names": [], "practiceLocations": [ { "address_1": "956 COURT AVE SUITE H314A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38163", "state": "TN", "telephone_number": "901-448-5735" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "ME135268", "primary": true, "state": "FL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-23", "first_name": "GARRETTSON", "last_name": "ELLIS", "last_updated": "2013-06-21", "middle_name": "S", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119549905000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3161384", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "38943941", "issuer": "Medicare", "state": "TN" } ], "last_updated_epoch": "1371841146000", "number": "1336145317", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "38522", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "38522", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "MD", "enumeration_date": "2005-11-04", "first_name": "ROY", "last_name": "FOX", "last_updated": "2019-11-12", "middle_name": "C", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131124510000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3025404", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1573599637000", "number": "1972594208", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "16644", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "16644", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "AMADO", "last_name": "FREIRE", "last_updated": "2007-07-08", "middle_name": "X", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146081102000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3845279", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1447217401", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "31816", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 1798", "address_2": "DEPT 07 069", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "731-425-6983", "postal_code": "381011798", "state": "TN", "telephone_number": "731-444-4718" }, { "address_1": "176 W UNIVERSITY PKWY", "address_2": "SUITE C", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "731-425-6983", "postal_code": "383051618", "state": "TN", "telephone_number": "731-444-4718" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "GEORGE", "authorized_official_last_name": "VRANEY", "authorized_official_middle_name": "A", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "7314444718", "authorized_official_title_or_position": "Owner", "enumeration_date": "2007-05-21", "last_updated": "2008-04-17", "organization_name": "GEORGE A VRANEY MD PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1179764362000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3370078", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1208487119000", "number": "1033327903", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-09-27", "credential": "M.D.", "enumeration_date": "2005-06-21", "first_name": "EMMEL", "last_name": "GOLDEN", "last_updated": "2022-09-27", "middle_name": "B.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119367080000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1664294660000", "number": "1669478103", "other_names": [], "practiceLocations": [ { "address_1": "401 SOUTHCREST CIR STE 212", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-349-5974", "postal_code": "386716721", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md9636", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "15273", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "md9636", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2026-01-30", "credential": "D.O.", "enumeration_date": "2015-04-15", "first_name": "JASON", "last_name": "GREEN", "last_updated": "2026-01-30", "middle_name": "KYLE", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1429115219000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1769776832000", "number": "1164818233", "other_names": [], "practiceLocations": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "2647 S SAINT ELIZABETH BLVD STE 215", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GONZALES", "country_code": "US", "country_name": "United States", "fax_number": "225-644-4206", "postal_code": "707375020", "state": "LA", "telephone_number": "225-765-5500" } ], "taxonomies": [ { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "4746", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "344135", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "30295", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "30295", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "344135", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "30295", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "4746", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "4746", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-27", "first_name": "JOHN", "last_name": "GRIFFIN", "last_updated": "2026-05-10", "middle_name": "P", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146150482000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3143910", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1778436328000", "number": "1114984747", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "5793", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-545-4748", "postal_code": "381033409", "state": "TN", "telephone_number": "901-545-6969" }, { "address_1": "900 MAIN ST STE 630", "address_purpose": "MAILING", "address_type": "DOM", "city": "PEORIA", "country_code": "US", "country_name": "United States", "postal_code": "616025024", "state": "IL", "telephone_number": "309-672-4433" } ], "basic": { "certification_date": "2023-01-26", "credential": "MD", "enumeration_date": "2007-05-17", "first_name": "POOJA", "last_name": "GUPTA", "last_updated": "2023-01-26", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1179454453000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "036123061", "issuer": "license", "state": "IL" } ], "last_updated_epoch": "1674772853000", "number": "1205044062", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "2006013138", "primary": false, "state": "MO", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "6462", "primary": false, "state": "NE", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "66968", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2024-09-03", "credential": "M.D.", "enumeration_date": "2016-05-20", "first_name": "MATTHEW", "last_name": "HALTOM", "last_updated": "2024-09-03", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1463769830000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1725399664000", "number": "1912354853", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "60449", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "60449", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "60449", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-349-5974", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2023-03-28", "credential": "MD", "enumeration_date": "2008-01-16", "first_name": "TODD", "last_name": "HENDERSON", "last_updated": "2023-03-28", "middle_name": "MARCOS", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1200545906000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1680036887000", "number": "1710163050", "other_names": [], "practiceLocations": [ { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "2100 N 7TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEST MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-5145", "postal_code": "723012017", "state": "AR", "telephone_number": "870-394-7800" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "E-12098", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "48203", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "E-12098", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "22431", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "48203", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "E-12098", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "48203", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "22431", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "22431", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2021-07-01", "credential": "D.O.", "enumeration_date": "2013-04-04", "first_name": "PATRICK", "last_name": "HIGGINS", "last_updated": "2021-07-01", "middle_name": "RYAN", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1365100057000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1625152210000", "number": "1235472507", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "3201", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "3201", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "3201", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "100 BAPTIST MEMORIAL CIR STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "fax_number": "662-636-2295", "postal_code": "386554476", "state": "MS", "telephone_number": "662-636-2450" }, { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" } ], "basic": { "certification_date": "2025-08-20", "credential": "M.D.", "enumeration_date": "2013-06-29", "first_name": "KELLEY", "last_name": "HILL", "last_updated": "2025-08-20", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1372524947000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1755720063000", "number": "1063852473", "other_names": [], "practiceLocations": [ { "address_1": "1100 BELK BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "fax_number": "662-232-8555", "postal_code": "386555242", "state": "MS", "telephone_number": "662-513-1609" }, { "address_1": "2500 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "postal_code": "392164500", "state": "MS", "telephone_number": "601-984-5532" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "24163", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "24163", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "24163", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "107 BRANDON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "STARKVILLE", "country_code": "US", "country_name": "United States", "fax_number": "662-615-3775", "postal_code": "397592521", "state": "MS", "telephone_number": "662-615-3771" } ], "basic": { "certification_date": "2025-09-25", "credential": "M.D.", "enumeration_date": "2006-07-27", "first_name": "HARRY", "last_name": "HOLLIDAY", "last_updated": "2025-09-25", "middle_name": "R", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1154036896000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00200336", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1758817053000", "number": "1053335372", "other_names": [], "practiceLocations": [ { "address_1": "400 HOSPITAL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "STARKVILLE", "country_code": "US", "country_name": "United States", "postal_code": "397592163", "state": "MS", "telephone_number": "662-323-4230" }, { "address_1": "107 BRANDON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "STARKVILLE", "country_code": "US", "country_name": "United States", "fax_number": "662-324-2196", "postal_code": "397592521", "state": "MS", "telephone_number": "662-324-1291" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "17672", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2021-05-17", "credential": "MD", "enumeration_date": "2014-04-21", "first_name": "ANDREW", "last_name": "HOLT", "last_updated": "2021-05-17", "middle_name": "PARRISH", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1398136734000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1621284643000", "number": "1316367071", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "56279", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "56279", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1325 EASTMORELAND AVE", "address_2": "SUITE 370", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5153", "postal_code": "381043519", "state": "TN", "telephone_number": "901-758-7888" }, { "address_1": "PO BOX 1000", "address_2": "DEPT # 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5153", "postal_code": "381480001", "state": "TN", "telephone_number": "901-758-7888" } ], "basic": { "certification_date": "2022-01-11", "credential": "MD", "enumeration_date": "2007-07-04", "first_name": "DIPEN", "last_name": "KADARIA", "last_updated": "2022-01-11", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1183575565000", "endpoints": [ { "address_1": "10350 E Dakota Ave", "address_type": "DOM", "affiliation": "N", "city": "Denver", "contentOtherDescription": "C-CDA", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq", "endpointDescription": "Carequality", "endpointType": "SOAP", "endpointTypeDescription": "SOAP URL", "postal_code": "802471314", "state": "CO", "use": "HIE", "useDescription": "Health Information Exchange (HIE)" } ], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "029310", "issuer": "Kaiser Commercial Number", "state": "CO" }, { "code": "05", "desc": "MEDICAID", "identifier": "198151001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4355725", "issuer": "BCBS", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "P01289042", "issuer": "Railroad Medicare", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q002087", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1641955387000", "number": "1932307691", "other_names": [], "practiceLocations": [ { "address_1": "10350 E DAKOTA AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "DENVER", "country_code": "US", "country_name": "United States", "postal_code": "802471314", "state": "CO", "telephone_number": "303-338-4545" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "49612", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "DR.0058033", "primary": false, "state": "CO", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "49612", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2800 BUFORD DRIVE", "address_2": "STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LAWRENCEVILLE", "country_code": "US", "country_name": "United States", "postal_code": "30043", "state": "GA", "telephone_number": "770-718-5545" }, { "address_1": "2800 BUFORD DRIVE", "address_2": "STE 200", "address_purpose": "MAILING", "address_type": "DOM", "city": "LAWRENCEVILLE", "country_code": "US", "country_name": "United States", "postal_code": "30043", "state": "GA" } ], "basic": { "certification_date": "2024-08-19", "credential": "D.O.", "enumeration_date": "2013-06-27", "first_name": "NIKKY", "last_name": "KEER", "last_updated": "2024-08-19", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1372345264000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1724101460000", "number": "1053751651", "other_names": [], "practiceLocations": [ { "address_1": "123 SUMMER ST", "address_2": "DEPT OF MEDICINE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WORCESTER", "country_code": "US", "country_name": "United States", "fax_number": "508-363-9798", "postal_code": "016081216", "state": "MA", "telephone_number": "508-363-6177" }, { "address_1": "1412 MILSTEAD AVE NE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CONYERS", "country_code": "US", "country_name": "United States", "postal_code": "300123877", "state": "GA", "telephone_number": "770-918-3000" }, { "address_1": "6019 WALNUT GROVE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202113", "state": "TN", "telephone_number": "017-015-8259" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "75854", "primary": false, "state": "GA", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "75854", "primary": true, "state": "GA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-02-17", "credential": "MD", "enumeration_date": "2005-11-07", "first_name": "LISA", "last_name": "KENNEDY", "last_updated": "2020-02-17", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131400339000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3082385", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1581956523000", "number": "1629059712", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "19977", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "19977", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2025-09-04", "credential": "MD", "enumeration_date": "2012-06-25", "first_name": "MUHAMMAD EBRAHIM", "last_name": "KHAN", "last_updated": "2025-09-04", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1340637456000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1757005948000", "number": "1609139625", "other_names": [], "practiceLocations": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "7601 SOUTHCREST PKWY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-226-4915", "postal_code": "386714739", "state": "MS", "telephone_number": "901-226-4910" }, { "address_1": "6225 HUMPHREYS BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-2477", "postal_code": "381202373", "state": "TN", "telephone_number": "901-227-2727" }, { "address_1": "1500 W POPLAR AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLLIERVILLE", "country_code": "US", "country_name": "United States", "fax_number": "901-227-2477", "postal_code": "380170601", "state": "TN", "telephone_number": "901-227-8140" }, { "address_1": "6019 WALNUT GROVE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-226-4774", "postal_code": "381202113", "state": "TN", "telephone_number": "901-226-4910" }, { "address_1": "6019 WALNUT GROVE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-226-1456", "postal_code": "381202113", "state": "TN", "telephone_number": "901-226-0732" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "28604", "primary": false, "state": "NE", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "35340", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "208M00000X", "desc": "Hospitalist", "license": "MD44185", "primary": false, "state": "IA", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "74532", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2023-03-28", "credential": "MD", "enumeration_date": "2008-04-17", "first_name": "YADANA", "last_name": "KYAW", "last_updated": "2023-03-28", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1208451927000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "06885280", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "1533454", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1680038098000", "number": "1134393473", "other_names": [], "practiceLocations": [ { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "2100 N 7TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEST MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "723012017", "state": "AR", "telephone_number": "870-394-7800" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "49400", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "E-11985", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "49400", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "22350", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "E-11985", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "22350", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "877 JEFFERSON AVE", "address_2": "ATTN: PROVIDER ENROLLMENT", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032807", "state": "TN" }, { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032807", "state": "TN", "telephone_number": "901-545-7185" } ], "basic": { "credential": "M.D.", "enumeration_date": "2009-08-04", "first_name": "JULIO", "last_name": "LANFRANCO MOLINA", "last_updated": "2016-12-06", "middle_name": "ALBERTO", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1249402049000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1481039850000", "number": "1194956474", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "51885", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": "TRN 11466", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "51885", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "M.D.", "enumeration_date": "2007-04-17", "first_name": "PETER", "last_name": "LAW", "last_updated": "2015-11-05", "middle_name": "H", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1176836303000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q002207", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1446739770000", "number": "1265658629", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "46627", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "46627", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "46627", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1111 MEDICAL PLAZA DR STE 250", "address_purpose": "MAILING", "address_type": "DOM", "city": "THE WOODLANDS", "country_code": "US", "country_name": "United States", "postal_code": "773803477", "state": "TX" }, { "address_1": "1111 MEDICAL PLAZA DR STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "THE WOODLANDS", "country_code": "US", "country_name": "United States", "postal_code": "773803477", "state": "TX", "telephone_number": "281-315-8109" } ], "basic": { "certification_date": "2025-06-26", "credential": "MD", "enumeration_date": "2019-04-01", "first_name": "ROBERT", "last_name": "LIU", "last_updated": "2025-06-26", "middle_name": "JIUNG-TEH", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1554146765000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1750953910000", "number": "1598227449", "other_names": [], "practiceLocations": [ { "address_1": "22999 HIGHWAY 59 N", "address_purpose": "LOCATION", "address_type": "DOM", "city": "KINGWOOD", "country_code": "US", "country_name": "United States", "postal_code": "773394412", "state": "TX", "telephone_number": "281-348-3322" }, { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-515-9849", "postal_code": "381032807", "state": "TN", "telephone_number": "901-545-7100" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "69928", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "V6048", "primary": true, "state": "TX", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 17806", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381870806", "state": "TN" }, { "address_1": "6263 POPLAR AVE STE 1052", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381194736", "state": "TN", "telephone_number": "901-844-1435" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "LOUIS", "authorized_official_last_name": "EBERLE", "authorized_official_middle_name": "VALENTINE", "authorized_official_name_suffix": "III", "authorized_official_telephone_number": "9018441435", "authorized_official_title_or_position": "OWNER", "certification_date": "2026-02-10", "enumeration_date": "2026-02-10", "last_updated": "2026-02-10", "organization_name": "LOUIS VALENTINE EBERLE III", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1770741606000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1770741606000", "number": "1952253395", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-333-8443", "postal_code": "381570101", "state": "TN", "telephone_number": "901-333-8443" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2021-06-07", "credential": "MD", "enumeration_date": "2006-01-16", "first_name": "MATTHEW", "last_name": "MABIE", "last_updated": "2021-06-07", "middle_name": "W", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1137439612000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1623091403000", "number": "1063491280", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "32256", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "32256", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "2120 EXETER RD", "address_2": "STE 250", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-01-24", "credential": "M.D", "enumeration_date": "2015-07-06", "first_name": "PRECIOUS", "last_name": "MACAULEY", "last_updated": "2022-01-24", "middle_name": "AYODELE LANA", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1436233529000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1643054448000", "number": "1952784266", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "63173", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "28660", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "28660", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "63173", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "MD", "enumeration_date": "2006-01-18", "first_name": "WILLIAM", "last_name": "MARIENCHECK", "last_updated": "2019-11-12", "middle_name": "I", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1137619746000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3161066", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1573598847000", "number": "1467432203", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "5396", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "5396", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "MID-SOUTH PULMONARY SPECIALISTS, P.C.", "address_2": "5050 POPLAR AVE., SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "M.D.", "enumeration_date": "2012-04-09", "first_name": "KIMBERLY", "last_name": "MARSH", "last_updated": "2019-11-12", "middle_name": "ANNE", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1333992546000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1573596527000", "number": "1952667503", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "54072", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "54072", "primary": true, "state": "TN", "taxonomy_group": "193400000X - Multiple Single Specialty Group" } ] }, { "addresses": [ { "address_1": "1265 UNION AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8254", "postal_code": "381043415", "state": "TN", "telephone_number": "901-516-2362" }, { "address_1": "5050 POPLAR AVE", "address_2": "STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-05-06", "credential": "D.O.", "enumeration_date": "2014-04-18", "first_name": "ANTHONY", "last_name": "MATTOX", "last_updated": "2020-05-06", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1397828745000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1588792546000", "number": "1558781492", "other_names": [], "practiceLocations": [ { "address_1": "920 MADISON AVE STE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033438", "state": "TN", "telephone_number": "901-448-5364" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "3208", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "3208", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "credential": "M.D.", "enumeration_date": "2006-07-26", "first_name": "JEFFREY", "last_name": "MCCARTNEY", "last_updated": "2019-03-21", "middle_name": "P", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1153951319000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1514524", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1553194632000", "number": "1902820004", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "21580", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207P00000X", "desc": "Emergency Medicine", "license": "21580", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "21580", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "21580", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1669 KIRBY PKWY", "address_2": "SUITE 110", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-755-8820", "postal_code": "381204373", "state": "TN", "telephone_number": "901-755-8891" }, { "address_1": "395 GRANDVIEW ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-844-1439", "postal_code": "381117607", "state": "TN", "telephone_number": "901-844-1434" } ], "basic": { "credential": "M.D.", "enumeration_date": "2006-06-02", "first_name": "JOHN", "last_name": "MCGEHEE", "last_updated": "2023-03-07", "middle_name": "LUCIUS", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1149281940000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "14874", "issuer": "TN Medical License", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3002931", "issuer": null, "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3002933", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1678238276000", "number": "1265470462", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "14874", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "14874", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "14874", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "14874", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "601-292-4262", "postal_code": "381202177", "state": "TN", "telephone_number": "601-292-4261" }, { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-353-4414", "postal_code": "392022027", "state": "MS", "telephone_number": "601-974-6246" } ], "basic": { "authorized_official_first_name": "GREGORY", "authorized_official_last_name": "DUCKETT", "authorized_official_middle_name": "M", "authorized_official_telephone_number": "9012275233", "authorized_official_title_or_position": "SR VP/CLO", "certification_date": "2020-10-01", "enumeration_date": "2006-03-14", "last_updated": "2020-10-06", "organization_name": "MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.", "organizational_subpart": "YES", "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.", "status": "A" }, "created_epoch": "1142381284000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "03807380", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1601991630000", "number": "1992774814", "other_names": [ { "code": "3", "organization_name": "BAPTIST MEDICAL CLINICS", "type": "Doing Business As" } ], "practiceLocations": [ { "address_1": "1190 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-973-1596", "postal_code": "392022413", "state": "MS", "telephone_number": "601-973-1624" }, { "address_1": "1200 N STATE ST STE 500", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-3215", "postal_code": "392022027", "state": "MS", "telephone_number": "601-352-2273" }, { "address_1": "823 GRAND AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "YAZOO CITY", "country_code": "US", "country_name": "United States", "fax_number": "662-746-7855", "postal_code": "391943233", "state": "MS", "telephone_number": "627-518-2466" }, { "address_1": "1200 N STATE ST # LL10", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-362-8116", "postal_code": "392022000", "state": "MS", "telephone_number": "601-362-7280" }, { "address_1": "401 BAPTIST DR STE 206", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-973-1609", "postal_code": "391102011", "state": "MS", "telephone_number": "601-973-1583" }, { "address_1": "1490 W GOVERNMENT ST STE 10", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRANDON", "country_code": "US", "country_name": "United States", "fax_number": "601-825-1937", "postal_code": "390423024", "state": "MS", "telephone_number": "601-825-1936" }, { "address_1": "123 BO BO DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CRYSTAL SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "601-973-4541", "postal_code": "390592741", "state": "MS", "telephone_number": "601-969-6404" }, { "address_1": "1100 HWY 16", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CARTHAGE", "country_code": "US", "country_name": "United States", "fax_number": "601-973-4541", "postal_code": "39051", "state": "MS", "telephone_number": "601-267-1000" }, { "address_1": "7275 S SIWELL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BYRAM", "country_code": "US", "country_name": "United States", "fax_number": "601-373-7378", "postal_code": "392729767", "state": "MS", "telephone_number": "601-373-7722" }, { "address_1": "1100 HWY 16", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CARTHAGE", "country_code": "US", "country_name": "United States", "fax_number": "601-973-4541", "postal_code": "39051", "state": "MS", "telephone_number": "601-267-1000" }, { "address_1": "332 HIGHWAY 12 W", "address_purpose": "LOCATION", "address_type": "DOM", "city": "KOSCIUSKO", "country_code": "US", "country_name": "United States", "fax_number": "662-289-2486", "postal_code": "390903209", "state": "MS", "telephone_number": "601-289-1800" }, { "address_1": "106 CLINTON PKWY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CLINTON", "country_code": "US", "country_name": "United States", "fax_number": "601-973-1622", "postal_code": "390564730", "state": "MS", "telephone_number": "601-924-9005" }, { "address_1": "151 E METRO DR STE 103", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FLOWOOD", "country_code": "US", "country_name": "United States", "fax_number": "601-992-3188", "postal_code": "392324405", "state": "MS", "telephone_number": "601-992-3288" }, { "address_1": "401 BAPTIST DR STE 104", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-605-3898", "postal_code": "391102010", "state": "MS", "telephone_number": "601-605-2383" }, { "address_1": "2173 MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-605-3898", "postal_code": "391106309", "state": "MS", "telephone_number": "601-605-3858" }, { "address_1": "650 OLD CANTON RD STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-956-9721", "postal_code": "39211", "state": "MS", "telephone_number": "601-957-1015" }, { "address_1": "1887 SPILLWAY RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRANDON", "country_code": "US", "country_name": "United States", "fax_number": "601-992-5547", "postal_code": "390476066", "state": "MS", "telephone_number": "601-992-5532" }, { "address_1": "1201 HIGHWAY 49 S STE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RICHLAND", "country_code": "US", "country_name": "United States", "fax_number": "601-664-0055", "postal_code": "392189438", "state": "MS", "telephone_number": "601-973-1576" }, { "address_1": "102 LEXINGTON DR STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-973-1690", "postal_code": "391106952", "state": "MS", "telephone_number": "601-973-1688" }, { "address_1": "3011 GREENFIELD RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PEARL", "country_code": "US", "country_name": "United States", "fax_number": "601-825-2531", "postal_code": "392088712", "state": "MS", "telephone_number": "601-825-9000" }, { "address_1": "1225 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-974-6241", "postal_code": "392022064", "state": "MS", "telephone_number": "601-988-5281" }, { "address_1": "501 MARSHALL ST STE G07", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-968-3237", "postal_code": "392021651", "state": "MS", "telephone_number": "601-968-3238" }, { "address_1": "1200 N STATE ST STE 420", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-355-3365", "postal_code": "392022027", "state": "MS", "telephone_number": "601-355-3353" }, { "address_1": "100 S PEARSON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PEARL", "country_code": "US", "country_name": "United States", "fax_number": "601-968-1246", "postal_code": "39208", "state": "MS", "telephone_number": "601-968-1237" }, { "address_1": "1200 N STATE ST STE 210", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-3416", "postal_code": "392022000", "state": "MS", "telephone_number": "601-714-3202" }, { "address_1": "7273 S SIWELL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BYRAM", "country_code": "US", "country_name": "United States", "fax_number": "601-372-8125", "postal_code": "392729767", "state": "MS", "telephone_number": "601-372-8223" }, { "address_1": "108 CLINTON PKWY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CLINTON", "country_code": "US", "country_name": "United States", "fax_number": "601-924-9746", "postal_code": "390564730", "state": "MS", "telephone_number": "601-926-2018" }, { "address_1": "151 E METRO DR STE 202", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FLOWOOD", "country_code": "US", "country_name": "United States", "fax_number": "601-939-3332", "postal_code": "392324405", "state": "MS", "telephone_number": "601-973-1507" }, { "address_1": "4301 LAKELAND DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FLOWOOD", "country_code": "US", "country_name": "United States", "fax_number": "601-939-3332", "postal_code": "392328947", "state": "MS", "telephone_number": "601-939-7010" }, { "address_1": "102 LEXINGTON DR STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-973-1690", "postal_code": "391106952", "state": "MS", "telephone_number": "601-973-1688" }, { "address_1": "401 BAPTIST DR STE 306", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-607-7430", "postal_code": "391102012", "state": "MS", "telephone_number": "601-607-7204" }, { "address_1": "6250 OLD CANTON RD STE 130", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-977-6244", "postal_code": "392112946", "state": "MS", "telephone_number": "601-956-7280" }, { "address_1": "746 E FIFTEENTH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "YAZOO CITY", "country_code": "US", "country_name": "United States", "fax_number": "601-746-0967", "postal_code": "391942706", "state": "MS", "telephone_number": "601-746-4032" } ], "taxonomies": [ { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0200X", "desc": "Internal Medicine, Infectious Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207T00000X", "desc": "Neurological Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207VX0201X", "desc": "Obstetrics & Gynecology, Gynecologic Oncology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208000000X", "desc": "Pediatrics", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208G00000X", "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "225100000X", "desc": "Physical Therapist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "225X00000X", "desc": "Occupational Therapist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "GIANFRANCO", "last_name": "MEDURI", "last_updated": "2007-07-08", "middle_name": "UMBERTO", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146081727000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1326005398", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "19185", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "800 BIESTERFIELD RD STE 510", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ELK GROVE VILLAGE", "country_code": "US", "country_name": "United States", "postal_code": "600073367", "state": "IL", "telephone_number": "847-981-3660" }, { "address_1": "800 BIESTERFIELD RD STE 510", "address_purpose": "MAILING", "address_type": "DOM", "city": "ELK GROVE VILLAGE", "country_code": "US", "country_name": "United States", "postal_code": "600073367", "state": "IL", "telephone_number": "847-981-3660" } ], "basic": { "certification_date": "2021-04-05", "credential": "M.D.", "enumeration_date": "2011-08-16", "first_name": "ANURAG", "last_name": "MEHROTRA", "last_updated": "2021-04-05", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1313504508000", "endpoints": [ { "address_1": "800 Biesterfield Rd Ste 510", "address_type": "DOM", "affiliation": "N", "city": "Elk Grove Village", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "sublung@380.direct.myezyaccess.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "600073367", "state": "IL", "useDescription": "" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1617651014000", "number": "1033498472", "other_names": [], "practiceLocations": [ { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38120", "state": "TN", "telephone_number": "619-316-5161" }, { "address_1": "401 SOUTHCREST CIR STE 212", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386716721", "state": "MS", "telephone_number": "662-349-0488" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "56208", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "036151698", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "56208", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "56208", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "036151698", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "036151698", "primary": true, "state": "IL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "authorized_official_first_name": "GREGORY", "authorized_official_last_name": "DUCKETT", "authorized_official_middle_name": "M", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9012275233", "authorized_official_title_or_position": "SR VP/ CLO", "certification_date": "2022-02-09", "enumeration_date": "2011-09-19", "last_updated": "2022-02-14", "organization_name": "MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.", "organizational_subpart": "YES", "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.", "status": "A" }, "created_epoch": "1316461469000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1644853774000", "number": "1811279656", "other_names": [], "practiceLocations": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "SUITE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202131", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "401 SOUTHCREST CIR STE 212", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-349-5974", "postal_code": "386716721", "state": "MS", "telephone_number": "662-349-0488" }, { "address_1": "1500 W POPLAR AVE STE 309", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLLIERVILLE", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "380170601", "state": "TN", "telephone_number": "901-850-1170" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086S0102X", "desc": "Surgery, Surgical Critical Care", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363A00000X", "desc": "Physician Assistant", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LA2100X", "desc": "Nurse Practitioner, Acute Care", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LG0600X", "desc": "Nurse Practitioner, Gerontology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "SUITE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202131", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "6025 WALNUT GROVE RD", "address_2": "SUITE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202131", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "authorized_official_first_name": "JENNY", "authorized_official_last_name": "UDOUJ", "authorized_official_middle_name": "L", "authorized_official_name_prefix": "Mrs.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9017675864", "authorized_official_title_or_position": "Administrator", "enumeration_date": "2006-07-01", "last_updated": "2010-02-09", "organization_name": "MEMPHIS LUNG PHYSICIANS, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1151781098000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "09010462", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "3381272", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1265754512000", "number": "1053340166", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 341536", "address_purpose": "MAILING", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "fax_number": "901-379-0771", "postal_code": "381841536", "state": "TN", "telephone_number": "901-291-2400" }, { "address_1": "1265 UNION AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381043415", "state": "TN", "telephone_number": "901-291-2427" } ], "basic": { "authorized_official_first_name": "CHUCK", "authorized_official_last_name": "LANE", "authorized_official_telephone_number": "9014780525", "authorized_official_title_or_position": "SVP/Chief Financial Officer", "certification_date": "2025-12-23", "enumeration_date": "2005-08-16", "last_updated": "2025-12-23", "organization_name": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1124224188000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "CB1308", "issuer": "RR MEDICARE PTAN", "state": "TN" } ], "last_updated_epoch": "1766517380000", "number": "1043202088", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 341348", "address_purpose": "MAILING", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "fax_number": "901-379-0771", "postal_code": "381841348", "state": "TN", "telephone_number": "901-291-2400" }, { "address_1": "1265 UNION AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381043415", "state": "TN", "telephone_number": "901-291-2400" } ], "basic": { "authorized_official_first_name": "GEORGE", "authorized_official_last_name": "DENDRINOS", "authorized_official_name_prefix": "Mr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9012912427", "authorized_official_title_or_position": "GENERAL MANAGER", "enumeration_date": "2005-08-16", "last_updated": "2007-08-01", "organization_name": "MID SOUTH MEDICAL ASSOCIATES", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1124223156000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1185992498000", "number": "1457343485", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "authorized_official_credential": "JD", "authorized_official_first_name": "KIMBERLY", "authorized_official_last_name": "AVERY", "authorized_official_middle_name": "WEIS", "authorized_official_name_prefix": "Mrs.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9013338443", "authorized_official_title_or_position": "ADMINISTRATOR", "enumeration_date": "2006-01-16", "last_updated": "2019-11-12", "organization_name": "MID-SOUTH PULMONARY SPECIALISTS PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1137432561000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1573596937000", "number": "1073592275", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "2080S0012X", "desc": "Pediatrics, Sleep Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Multiple Single Specialty Group" } ] }, { "addresses": [ { "address_1": "200 CLINIC DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISONVILLE", "country_code": "US", "country_name": "United States", "postal_code": "424311661", "state": "KY", "telephone_number": "270-825-7200" }, { "address_1": "965 RIDGE LAKE BLVD STE 103", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381209446", "state": "TN" } ], "basic": { "certification_date": "2020-11-18", "credential": "M.D", "enumeration_date": "2007-11-05", "first_name": "STACEY", "last_name": "MILLER", "last_updated": "2020-11-18", "middle_name": "MICHELLE", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1194292376000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "7100446180", "issuer": null, "state": "KY" } ], "last_updated_epoch": "1605725351000", "number": "1124208442", "other_names": [], "practiceLocations": [ { "address_1": "100 BAPTIST MEMORIAL CIR STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "fax_number": "662-636-2295", "postal_code": "386554476", "state": "MS", "telephone_number": "662-636-2450" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "49590", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "49590", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "49590", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "27970", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1325 EASTMORELAND AVE", "address_2": "SUITE 370", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5153", "postal_code": "381043519", "state": "TN", "telephone_number": "901-758-7888" }, { "address_1": "PO BOX 1000", "address_2": "DEPT 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5153", "postal_code": "381480001", "state": "TN", "telephone_number": "901-758-7888" } ], "basic": { "credential": "MD", "enumeration_date": "2009-06-17", "first_name": "KHAWAJA", "last_name": "MUDDASSIR", "last_updated": "2016-11-09", "middle_name": "MUHAMMAD", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1245262648000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1478729010000", "number": "1003043043", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "A108371", "primary": false, "state": "CA", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "52180", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "52180", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "52180", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-02-17", "credential": "DO", "enumeration_date": "2007-03-12", "first_name": "MICHAEL", "last_name": "MUNDAY", "last_updated": "2020-02-17", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1173728421000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3320057", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1581958993000", "number": "1710019930", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "1726", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "1726", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "MUTHIAH", "last_name": "MUTHIAH", "last_updated": "2007-07-08", "middle_name": "PUGAZHENTHI", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146082273000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3849817", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1831156801", "other_names": [ { "code": "1", "credential": "MD", "first_name": "MUTHIAH", "last_name": "PUGAZHENTHI", "prefix": "Dr.", "suffix": "--", "type": "Former Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "32170", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "713 E ANDERSON ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEATHERFORD", "country_code": "US", "country_name": "United States", "postal_code": "760865705", "state": "TX", "telephone_number": "682-582-1000" }, { "address_1": "200 1ST ST SW", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCHESTER", "country_code": "US", "country_name": "United States", "postal_code": "559050001", "state": "MN", "telephone_number": "507-284-2511" } ], "basic": { "certification_date": "2023-02-14", "credential": "M.D.", "enumeration_date": "2016-05-19", "first_name": "CHIOMA", "last_name": "OGBONNA", "last_updated": "2023-02-14", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1463690210000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1676372571000", "number": "1518314574", "other_names": [], "practiceLocations": [ { "address_1": "920 MADISON AVENUE", "address_2": "SUITE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38163", "state": "TN", "telephone_number": "850-368-6100" }, { "address_1": "200 1ST ST SW", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCHESTER", "country_code": "US", "country_name": "United States", "postal_code": "559050001", "state": "MN", "telephone_number": "507-284-2511" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "65429", "primary": false, "state": "MN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "65429", "primary": false, "state": "MN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "65429", "primary": false, "state": "MN", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "T8133", "primary": true, "state": "TX", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "SUITE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202131", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "6025 WALNUT GROVE RD", "address_2": "SUITE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202131", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "credential": "M.D.", "enumeration_date": "2006-06-16", "first_name": "KENNETH", "last_name": "OKPOR", "last_updated": "2011-11-08", "middle_name": "AZUKA", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1150497676000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1320768586000", "number": "1801830849", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "37282", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "37282", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "255 BAPTIST BLVD STE 402", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLUMBUS", "country_code": "US", "country_name": "United States", "postal_code": "397052006", "state": "MS", "telephone_number": "662-244-2550" } ], "basic": { "certification_date": "2024-03-08", "credential": "MBBS", "enumeration_date": "2017-07-26", "first_name": "CHRISTOPHER", "last_name": "RAILWAH", "last_updated": "2024-03-08", "middle_name": "NARENDRA", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1501082211000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1709914469000", "number": "1891219457", "other_names": [], "practiceLocations": [ { "address_1": "17540 E MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LOUISVILLE", "country_code": "US", "country_name": "United States", "postal_code": "393392772", "state": "MS", "telephone_number": "662-240-1412" }, { "address_1": "8613 MS HIGHWAY 12", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ACKERMAN", "country_code": "US", "country_name": "United States", "postal_code": "397358917", "state": "MS", "telephone_number": "662-244-2550" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "32348", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "32348", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE", "address_2": "SUITE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "38120", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "401 SOUTHCREST CIR", "address_2": "STE 212", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-349-5974", "postal_code": "386716721", "state": "MS", "telephone_number": "662-349-0488" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-21", "first_name": "SANJAY", "last_name": "RATNAKANT", "last_updated": "2010-07-13", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119391690000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "04758830", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "3327638", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1279043898000", "number": "1578569935", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "39269", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "18616", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "18616", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-02-17", "credential": "M.D.", "enumeration_date": "2005-06-23", "first_name": "WILLIAM", "last_name": "RICHARDS", "last_updated": "2020-02-17", "middle_name": "S", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119546488000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00118673", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "1512679", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1581972151000", "number": "1932105004", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "21671", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md21671", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "256 SEABOARD LN STE E104", "address_purpose": "MAILING", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "615-378-2514", "postal_code": "370672891", "state": "TN", "telephone_number": "615-314-1148" }, { "address_1": "1909 MALLORY LN STE 308", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "615-373-1565", "postal_code": "370672843", "state": "TN", "telephone_number": "615-203-8999" } ], "basic": { "certification_date": "2026-01-15", "credential": "MD", "enumeration_date": "2012-09-06", "first_name": "DIVYA", "last_name": "SALHAN", "last_updated": "2026-01-15", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1346980427000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q037798", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1768491751000", "number": "1780933531", "other_names": [], "practiceLocations": [ { "address_1": "256 SEABOARD LN STE 308", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "615-378-2514", "postal_code": "370672875", "state": "TN", "telephone_number": "615-314-1148" }, { "address_1": "256 SEABOARD LN STE E104", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "615-378-2514", "postal_code": "370672891", "state": "TN", "telephone_number": "615-314-1148" }, { "address_1": "1545 ATLANTIC AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BROOKLYN", "country_code": "US", "country_name": "United States", "postal_code": "112131122", "state": "NY", "telephone_number": "718-613-4000" }, { "address_1": "51 N DUNLAP ST STE 400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-287-6337", "postal_code": "38105", "state": "TN", "telephone_number": "901-287-7337" }, { "address_1": "848 ADAMS AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032816", "state": "TN", "telephone_number": "901-287-7337" }, { "address_1": "1940 N JACKSON ST STE 150", "address_purpose": "LOCATION", "address_type": "DOM", "city": "TULLAHOMA", "country_code": "US", "country_name": "United States", "postal_code": "373888257", "state": "TN", "telephone_number": "931-536-4149" }, { "address_1": "108 MEDICAL CENTER BLVD STE 125", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FAYETTEVILLE", "country_code": "US", "country_name": "United States", "postal_code": "373342777", "state": "TN", "telephone_number": "931-536-4149" }, { "address_1": "13181 OLD NASHVILLE HWY STE 150", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SMYRNA", "country_code": "US", "country_name": "United States", "postal_code": "371674034", "state": "TN", "telephone_number": "615-355-5105" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "36535", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "36535", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "36535", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "255 BAPTIST BLVD STE 402", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLUMBUS", "country_code": "US", "country_name": "United States", "fax_number": "662-244-2553", "postal_code": "397052006", "state": "MS", "telephone_number": "662-244-2550" }, { "address_1": "965 RIDGE LAKE BLVD. SUITE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2023-06-26", "credential": "MD", "enumeration_date": "2017-06-06", "first_name": "YASH", "last_name": "SARDA", "last_updated": "2023-06-26", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1496757758000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1687801731000", "number": "1619406527", "other_names": [], "practiceLocations": [ { "address_1": "9500 EUCLID AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CLEVELAND", "country_code": "US", "country_name": "United States", "postal_code": "441950001", "state": "OH", "telephone_number": "216-444-2200" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "31159", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1211 UNION AVE STE 330", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381046655", "state": "TN" }, { "address_1": "7691 POPLAR AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-516-1220", "postal_code": "381383904", "state": "TN", "telephone_number": "901-516-1290" } ], "basic": { "certification_date": "2025-09-30", "credential": "MD", "enumeration_date": "2018-05-29", "first_name": "WILLIAM", "last_name": "SESSIONS", "last_updated": "2025-09-30", "middle_name": "STERLING", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1527604325000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1759260484000", "number": "1073004883", "other_names": [], "practiceLocations": [ { "address_1": "116 N PAULINE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381041005", "state": "TN", "telephone_number": "901-523-8990" }, { "address_1": "1300 WESLEY DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381166426", "state": "TN", "telephone_number": "901-516-5741" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "63806", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "63806", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "208M00000X", "desc": "Hospitalist", "license": "63806", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "LL52436", "primary": false, "state": "SC", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "63806", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" }, { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-07-21", "credential": "M.D.", "enumeration_date": "2016-07-22", "first_name": "MUHAMMAD", "last_name": "SHAHID", "last_updated": "2022-07-21", "middle_name": "HASSAAN", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1469198527000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1658422652000", "number": "1619320868", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "30221", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032807", "state": "TN", "telephone_number": "901-545-7185" }, { "address_1": "956 COURT AVE # H314", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032814", "state": "TN" } ], "basic": { "certification_date": "2025-05-22", "credential": "M.D.", "enumeration_date": "2014-06-30", "first_name": "PRALHAD", "last_name": "SHARMA", "last_updated": "2025-05-22", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1404170246000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1747945300000", "number": "1265847032", "other_names": [], "practiceLocations": [ { "address_1": "960 E 3RD ST", "address_2": "SUITE 104", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHATTANOOGA", "country_code": "US", "country_name": "United States", "postal_code": "374032104", "state": "TN", "telephone_number": "423-893-9020" }, { "address_1": "1325 EASTMORELAND AVE STE 370", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5153", "postal_code": "381047542", "state": "TN", "telephone_number": "901-758-7888" }, { "address_1": "956 COURT AVE # H314", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032814", "state": "TN", "telephone_number": "901-448-5737" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "61040", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "61040", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "2120 EXETER RD", "address_2": "STE 250", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-01-24", "credential": "M.D.", "enumeration_date": "2011-08-09", "first_name": "MUHAMMAD", "last_name": "SHEIKH", "last_updated": "2022-01-24", "middle_name": "MUHYE-UD-DIN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1312923905000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1643064531000", "number": "1225317126", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "MD0000055724", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "24974", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "24974", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD0000055724", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38103", "state": "TN", "telephone_number": "901-545-7100" }, { "address_1": "1680 NEWTON OAK CIR E", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381177317", "state": "TN", "telephone_number": "901-487-6706" } ], "basic": { "credential": "MD", "enumeration_date": "2008-04-23", "first_name": "RABIN", "last_name": "SHRESTHA", "last_updated": "2019-07-03", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1208975105000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "529900780", "issuer": null, "state": "AL" } ], "last_updated_epoch": "1562159978000", "number": "1164697926", "other_names": [], "practiceLocations": [ { "address_1": "2866 DAUPHIN ST", "address_2": "STE V", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MOBILE", "country_code": "US", "country_name": "United States", "fax_number": "251-470-0896", "postal_code": "36606", "state": "AL", "telephone_number": "251-470-0552" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "56190", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "56190", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "31804", "primary": false, "state": "AL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "956 COURT AVE STE H314", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032822", "state": "TN", "telephone_number": "901-448-5814" }, { "address_1": "920 MADISON AVE STE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033438", "state": "TN", "telephone_number": "901-448-5814" } ], "basic": { "certification_date": "2024-06-20", "credential": "MD", "enumeration_date": "2018-04-05", "first_name": "KRISTIN", "last_name": "SIGNATER", "last_updated": "2024-06-20", "middle_name": "ALEXIS", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1522905178000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1718890413000", "number": "1699271866", "other_names": [], "practiceLocations": [ { "address_1": "15813 PAUL VEGA MD DR STE 401A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HAMMOND", "country_code": "US", "country_name": "United States", "postal_code": "704031426", "state": "LA", "telephone_number": "985-230-1682" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "328029", "primary": true, "state": "LA", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "SCOTT", "last_name": "SINCLAIR", "last_updated": "2007-07-08", "middle_name": "E", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146083414000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3877380", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1518924596", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "36691", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "REGIONAL ONE EXTENDED CARE LTAC", "address_2": "890 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "844-308-5077", "postal_code": "38103", "state": "TN", "telephone_number": "901-515-3028" }, { "address_1": "P.O. BOX 2285", "address_purpose": "MAILING", "address_type": "DOM", "city": "CORDOVA", "country_code": "US", "country_name": "United States", "fax_number": "844-308-5077", "postal_code": "38088", "state": "TN", "telephone_number": "865-776-7348" } ], "basic": { "authorized_official_first_name": "ZEINAB", "authorized_official_last_name": "ADAM", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8657767348", "authorized_official_title_or_position": "Account Manager", "certification_date": "2023-06-25", "enumeration_date": "2008-01-08", "last_updated": "2023-06-25", "organization_name": "SLEEP AND PULMOUNARY SPEACIALISTS PLLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1199799445000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "100208", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "I00208", "issuer": "Upin Number", "state": null } ], "last_updated_epoch": "1687743019000", "number": "1154506210", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-23", "first_name": "CHARLES", "last_name": "SMITH", "last_updated": "2011-11-08", "middle_name": "MICHAEL", "name_prefix": "--", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119536532000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1320770941000", "number": "1578569687", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md26141", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "md26141", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2022-08-18", "credential": "MD", "enumeration_date": "2015-04-30", "first_name": "CRYSTAL", "last_name": "STANTON", "last_updated": "2022-08-18", "middle_name": "ANN", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1430401845000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1660854515000", "number": "1487031365", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "65726", "primary": false, "state": "TN", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "207RS0010X", "desc": "Internal Medicine, Sports Medicine", "license": "65726", "primary": false, "state": "TN", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "65726", "primary": false, "state": "TN", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "65726", "primary": true, "state": "TN", "taxonomy_group": "193400000X - Multiple Single Specialty Group" } ] }, { "addresses": [ { "address_1": "920 MADISON AVE STE 447", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-7836", "postal_code": "381033438", "state": "TN", "telephone_number": "901-448-5737" }, { "address_1": "920 MADISON AVENUE SUITE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381636707", "state": "TN", "telephone_number": "901-448-5737" } ], "basic": { "certification_date": "2025-04-28", "credential": "D.O", "enumeration_date": "2017-05-05", "first_name": "MADELINE", "last_name": "STRITTMATTER", "last_updated": "2025-04-28", "middle_name": "MARIA-FERNANDA", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1494015017000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1745856186000", "number": "1962938233", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "OS16746", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "OS16746", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": true, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "890 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "844-308-5077", "postal_code": "381033409", "state": "TN", "telephone_number": "901-515-3028" }, { "address_1": "9692 WOODLAND VISTA DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "CORDOVA", "country_code": "US", "country_name": "United States", "fax_number": "901-255-2606", "postal_code": "380183621", "state": "TN", "telephone_number": "865-776-7348" } ], "basic": { "certification_date": "2023-06-25", "credential": "MD", "enumeration_date": "2006-09-14", "first_name": "IBRAHIM", "last_name": "SULTAN-ALI", "last_updated": "2023-06-25", "middle_name": "A", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1158272783000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1687743001000", "number": "1235234808", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "37191", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "37191", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD37191", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "307 HOSPITAL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "STARKVILLE", "country_code": "US", "country_name": "United States", "fax_number": "662-615-3725", "postal_code": "397592155", "state": "MS", "telephone_number": "662-615-3043" } ], "basic": { "certification_date": "2026-05-07", "credential": "M.D.", "enumeration_date": "2008-02-16", "first_name": "RAVALI", "last_name": "TARIGOPULA", "last_updated": "2026-05-07", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1203166781000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "200013744", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "2478508", "issuer": null, "state": "LA" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "310381", "issuer": "State License", "state": "LA" } ], "last_updated_epoch": "1778167393000", "number": "1285802892", "other_names": [], "practiceLocations": [ { "address_1": "400 HOSPITAL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "STARKVILLE", "country_code": "US", "country_name": "United States", "postal_code": "397592163", "state": "MS", "telephone_number": "662-323-4230" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "310381", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "310381", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "30516", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "310381", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "MD.34174", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "310381", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "MD.34174", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD.34174", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "MD.34174", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "ME153560", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "208M00000X", "desc": "Hospitalist", "license": "310381", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "30516", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-1871", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "MD", "enumeration_date": "2006-01-18", "first_name": "EDWIN", "last_name": "TAYLOR", "last_updated": "2013-06-21", "middle_name": "O", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1137620059000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1371840054000", "number": "1144200999", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "8523", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "8523", "primary": true, "state": "TX", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 440107", "address_purpose": "MAILING", "address_type": "DOM", "city": "NASHVILLE", "country_code": "US", "country_name": "United States", "fax_number": "901-756-8541", "postal_code": "372440107", "state": "TN", "telephone_number": "901-753-8361" }, { "address_1": "6019 WALNUT GROVE RD.", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-756-8541", "postal_code": "381200000", "state": "TN", "telephone_number": "901-753-8361" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "SANJAY", "authorized_official_last_name": "RATNAKANT", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9017538361", "authorized_official_title_or_position": "Owner", "enumeration_date": "2012-10-24", "last_updated": "2013-07-23", "organization_name": "THE LUNG CLINIC LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1351110191000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1374596970000", "number": "1134472384", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "39269", "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "39269", "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "39269", "primary": true, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "6025 WALNUT GROVE RD", "address_2": "STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381202125", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-21", "first_name": "GARY", "last_name": "TREW", "last_updated": "2011-11-08", "middle_name": "F", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119389776000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1320768864000", "number": "1790781144", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md7746", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "md7746", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2026-05-01", "credential": "MD", "enumeration_date": "2019-05-02", "first_name": "DAVID", "last_name": "TRIPLETT", "last_updated": "2026-05-01", "middle_name": "HASTINGS", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1556797909000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1777629429000", "number": "1285299537", "other_names": [], "practiceLocations": [ { "address_1": "920 MADISON AVE STE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033438", "state": "TN", "telephone_number": "901-448-5814" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "72758", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "72758", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "72758", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1211 UNION AVE STE 700", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-937-6696", "postal_code": "381046600", "state": "TN", "telephone_number": "901-478-0954" }, { "address_1": "1325 EASTMORELAND AVE STE 310", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-266-6425", "postal_code": "381047544", "state": "TN", "telephone_number": "901-758-7970" } ], "basic": { "authorized_official_first_name": "TABATHA", "authorized_official_last_name": "PERRY", "authorized_official_telephone_number": "9014780954", "authorized_official_title_or_position": "Manager, Provider Enrollment", "certification_date": "2025-10-20", "enumeration_date": "2012-05-03", "last_updated": "2025-10-20", "organization_name": "UT METHODIST PHYSICIANS LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1336079790000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1760993051000", "number": "1427317908", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086S0129X", "desc": null, "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RR0500X", "desc": "Internal Medicine, Rheumatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "204F00000X", "desc": "Transplant Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086X0206X", "desc": "Surgery, Surgical Oncology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208G00000X", "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RN0300X", "desc": "Internal Medicine, Nephrology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0200X", "desc": "Internal Medicine, Infectious Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1420 ROCKY RIDGE DR STE 300", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROSEVILLE", "country_code": "US", "country_name": "United States", "postal_code": "956612835", "state": "CA", "telephone_number": "916-865-4668" }, { "address_1": "1420 E ROSEVILLE PKWY STE 140", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROSEVILLE", "country_code": "US", "country_name": "United States", "postal_code": "956613080", "state": "CA", "telephone_number": "916-865-4668" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "SHAJI", "authorized_official_last_name": "SKARIA", "authorized_official_middle_name": "D", "authorized_official_name_prefix": "Dr.", "authorized_official_telephone_number": "6318305438", "authorized_official_title_or_position": "Owner", "certification_date": "2023-07-14", "enumeration_date": "2022-09-29", "last_updated": "2023-07-14", "organization_name": "VEEONE MEDICAL GROUP PA", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1664482174000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1689351295000", "number": "1265156558", "other_names": [], "practiceLocations": [ { "address_1": "6000 POPLAR AVENUE", "address_2": "SUITE 250 - #2015", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38119", "state": "TN", "telephone_number": "916-865-4668" }, { "address_1": "3516 PAR RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SEBRING", "country_code": "US", "country_name": "United States", "postal_code": "338721225", "state": "FL", "telephone_number": "916-865-4668" }, { "address_1": "500 KNIGHTS RUN AVE UNIT 2014", "address_purpose": "LOCATION", "address_type": "DOM", "city": "TAMPA", "country_code": "US", "country_name": "United States", "postal_code": "336026020", "state": "FL", "telephone_number": "916-865-4668" }, { "address_1": "501 NE 94TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIAMI SHORES", "country_code": "US", "country_name": "United States", "postal_code": "331382847", "state": "FL", "telephone_number": "916-865-4668" }, { "address_1": "3031 OSPREY CIR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PANAMA CITY", "country_code": "US", "country_name": "United States", "postal_code": "324050200", "state": "FL", "telephone_number": "916-865-4668" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0011X", "desc": "Internal Medicine, Interventional Cardiology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0200X", "desc": "Internal Medicine, Infectious Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RN0300X", "desc": "Internal Medicine, Nephrology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RR0500X", "desc": "Internal Medicine, Rheumatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207T00000X", "desc": "Neurological Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208M00000X", "desc": "Hospitalist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 1798", "address_2": "DEPT 07-069", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "731-425-6983", "postal_code": "381011798", "state": "TN", "telephone_number": "731-444-4718" }, { "address_1": "176 W UNIVERSITY PKWY", "address_2": "SUITE C", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "731-425-6983", "postal_code": "383051618", "state": "TN", "telephone_number": "731-444-4718" } ], "basic": { "credential": "MD", "enumeration_date": "2006-05-15", "first_name": "GEORGE", "last_name": "VRANEY", "last_updated": "2008-04-18", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1147741913000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "38831921", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4155424", "issuer": "BCBS of TN PIN", "state": "TN" } ], "last_updated_epoch": "1208529620000", "number": "1356392054", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "37411", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "LSU HEALTH SCIENCES CENTER", "address_2": "5246 BRITTANY DRIVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BATON ROUGE", "country_code": "US", "country_name": "United States", "fax_number": "225-757-4100", "postal_code": "70808", "state": "LA", "telephone_number": "225-757-4080" }, { "address_1": "LSU MEDICAL EDUCATION CENTER", "address_2": "5246 BRITTANY DRIVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "BATON ROUGE", "country_code": "US", "country_name": "United States", "fax_number": "225-757-4100", "postal_code": "70808", "state": "LA", "telephone_number": "225-757-4080" } ], "basic": { "certification_date": "2024-02-05", "credential": "M.D., Ph.D.", "enumeration_date": "2006-07-17", "first_name": "JAMES", "last_name": "WALKER", "last_updated": "2024-02-05", "middle_name": "E", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1153186206000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1514074", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1707143148000", "number": "1578581617", "other_names": [], "practiceLocations": [ { "address_1": "7777 HENNESSY BLVD STE 409", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BATON ROUGE", "country_code": "US", "country_name": "United States", "fax_number": "225-765-2013", "postal_code": "708084365", "state": "LA", "telephone_number": "225-765-5864" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "308314", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "308314", "primary": true, "state": "LA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE., SUITE 800", "address_2": "MID-SOUTH PULMONARY SPECIALISTS, P.C.", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "38157", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2020-02-14", "credential": "MD", "enumeration_date": "2009-05-17", "first_name": "NATHAN", "last_name": "WILDS", "last_updated": "2020-02-14", "middle_name": "ERIC", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1242594659000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1581714641000", "number": "1285869503", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "49796", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "49796", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-333-8443" }, { "address_1": "5050 POPLAR AVE", "address_2": "STE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "certification_date": "2021-06-07", "credential": "M.D.", "enumeration_date": "2012-04-30", "first_name": "DAVID", "last_name": "WILLIAMS", "last_updated": "2021-06-07", "middle_name": "IRVIN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1335830454000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1623090568000", "number": "1023376878", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "52754", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "52754", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "52754", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "300 CARSON ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JONESBORO", "country_code": "US", "country_name": "United States", "postal_code": "724013104", "state": "AR", "telephone_number": "870-932-1198" }, { "address_1": "3300 MIDLAND AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381114318", "state": "TN", "telephone_number": "573-424-5952" } ], "basic": { "certification_date": "2025-05-13", "credential": "DO", "enumeration_date": "2014-05-02", "first_name": "GEORGE", "last_name": "WILLIAMS", "last_updated": "2025-05-13", "middle_name": "WELDON", "name_prefix": "Dr.", "name_suffix": "II", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1399069232000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "265847003", "issuer": null, "state": "AR" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q064621", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1747155057000", "number": "1609286335", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "4189", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "208M00000X", "desc": "Hospitalist", "license": "2017013013", "primary": false, "state": "MO", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "E-13764", "primary": true, "state": "AR", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "28428", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "28428", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "4189", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 103", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381209446", "state": "TN", "telephone_number": "901-227-3255" }, { "address_1": "1200 N STATE ST STE 500", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-3413", "postal_code": "392022027", "state": "MS", "telephone_number": "601-352-2273" } ], "basic": { "credential": "MD", "enumeration_date": "2006-10-19", "first_name": "WILLIAM", "last_name": "WILLIAMS", "last_updated": "2018-04-05", "middle_name": "THOMAS", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1161304166000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "02582868", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1522951118000", "number": "1760564660", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "18909", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2022-09-22", "credential": "M.D.", "enumeration_date": "2005-06-21", "first_name": "MICHAEL", "last_name": "WILONS", "last_updated": "2022-09-22", "middle_name": "D", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119367723000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1663875284000", "number": "1710983259", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "md7996", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "md7996", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-274-2033", "postal_code": "381570800", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "956 COURT AVE", "address_2": "H314D", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38163", "state": "TN", "telephone_number": "901-448-5704" } ], "basic": { "certification_date": "2023-07-07", "credential": "M.D.", "enumeration_date": "2013-04-17", "first_name": "STEVEN", "last_name": "WOODS", "last_updated": "2023-07-07", "middle_name": "ALEXANDER", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1366229052000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1688739863000", "number": "1215371570", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "54409", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "54409", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6025 WALNUT GROVE", "address_2": "STE 508", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "38017", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "2120 EXETER RD", "address_2": "STE 250", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" } ], "basic": { "certification_date": "2022-01-24", "credential": "M.D.", "enumeration_date": "2006-06-08", "first_name": "JEFFREY", "last_name": "WRIGHT", "last_updated": "2022-01-24", "middle_name": "G.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1149744077000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "10081093", "issuer": "Amerigroup Medicaid", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4102814", "issuer": "Blue Cross of TN", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4409007", "issuer": "Cigna", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "P00210352", "issuer": "Medicare RR", "state": "TN" } ], "last_updated_epoch": "1643069501000", "number": "1235179177", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "34470", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "MD0000034470", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "034470", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "034470", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2120 EXETER RD STE 250", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-767-6591", "postal_code": "381383931", "state": "TN", "telephone_number": "901-767-5864" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2023-04-26", "credential": "MD", "enumeration_date": "2017-07-12", "first_name": "SNIGDHA REDDY", "last_name": "YERAMAREDDY", "last_updated": "2023-04-26", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1499892962000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1682521554000", "number": "1144742081", "other_names": [], "practiceLocations": [ { "address_1": "363 SOUTHCREST CIR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "901-850-1169", "postal_code": "386714737", "state": "MS", "telephone_number": "662-349-0488" } ], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "30787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "66538", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-333-8468", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" }, { "address_1": "5050 POPLAR AVE", "address_2": "SUITE 800", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-333-8468", "postal_code": "381570101", "state": "TN", "telephone_number": "901-276-2662" } ], "basic": { "credential": "M.D.", "enumeration_date": "2007-05-04", "first_name": "SYED", "last_name": "ZAIDI", "last_updated": "2019-11-12", "middle_name": "JUNAID AHMED", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1178307444000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "3041661", "issuer": "MEDICARE", "state": "TN" } ], "last_updated_epoch": "1573597808000", "number": "1164634838", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "44496", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "44496", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RS0012X", "desc": "Internal Medicine, Sleep Medicine", "license": "44496", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-27", "first_name": "MUHAMMAD", "last_name": "ZAMAN", "last_updated": "2007-07-08", "middle_name": "K", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146168027000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3067727", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1154388718", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "21412", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "319 HOSPITAL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MARTINSVILLE", "country_code": "US", "country_name": "United States", "postal_code": "241121929", "state": "VA", "telephone_number": "276-670-7141" }, { "address_1": "319 HOSPITAL DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "MARTINSVILLE", "country_code": "US", "country_name": "United States", "postal_code": "241121929", "state": "VA", "telephone_number": "276-670-7141" } ], "basic": { "certification_date": "2023-06-13", "credential": "MD", "enumeration_date": "2017-06-26", "first_name": "SEHAR", "last_name": "ZULFIQAR", "last_updated": "2023-06-13", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1498516930000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1686675268000", "number": "1508386962", "other_names": [], "practiceLocations": [ { "address_1": "BAYSTATE MEDICAL CENTER 759 CHESTNUT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SPRINGFIELD", "country_code": "US", "country_name": "United States", "postal_code": "011990001", "state": "MA", "telephone_number": "413-794-0000" }, { "address_1": "956 COURT AVE STE H316B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032822", "state": "TN", "telephone_number": "901-355-2938" } ], "taxonomies": [ { "code": "207RC0200X", "desc": "Internal Medicine, Critical Care Medicine", "license": "0101276708", "primary": false, "state": "VA", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": "0101276708", "primary": true, "state": "VA", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] } ] }