| Doctors Express Of Memphis | |
|
5475 Poplar Ave Suite 106 Memphis TN 38119-3730 | |
| (901) 254-8040 | |
| (901) 435-6522 |
| Full Name | Doctors Express Of Memphis |
|---|---|
| Speciality | Clinic/Center |
| Location | 5475 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | James A Harper (PARTNER/OWNER) |
| Authorized Official Contact | 6158040426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Express Of Memphis 5475 Poplar Ave Suite 106 Memphis TN 38119-3730 Ph: (901) 254-8040 | Doctors Express Of Memphis 5475 Poplar Ave Suite 106 Memphis TN 38119-3730 Ph: (901) 254-8040 |
| NPI Number | 1518274927 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 5799961850 |
|---|---|
| Medicare Enrollment ID | O20110525000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518274927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Dale W Norris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174558456 PECOS PAC ID: 1456335157 Enrollment ID: I20040617001392 |
| Provider Name | Raymond Paducho Valdes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817719 PECOS PAC ID: 4688647712 Enrollment ID: I20040930000731 |
| Provider Name | Alice R Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689662777 PECOS PAC ID: 1254233299 Enrollment ID: I20051205000198 |
| Provider Name | Melissa A Breitling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750499067 PECOS PAC ID: 6608852116 Enrollment ID: I20090527000601 |
| Provider Name | Lisa Mahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508824285 PECOS PAC ID: 9032303425 Enrollment ID: I20101029000748 |
| Provider Name | Soo P Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770716524 PECOS PAC ID: 7810043288 Enrollment ID: I20171114002729 |
| Provider Name | William Haywood Mays |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265690580 PECOS PAC ID: 1759626799 Enrollment ID: I20181220000740 |
| Provider Name | Stacye Leigh Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710939301 PECOS PAC ID: 9739138025 Enrollment ID: I20210330001901 |
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