NPIMap

Individual provider Active NPI

Jack D McCue, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1003885989
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G85468 Issued in CA
Practice address
Regional Medical Center at Memphis
Adams Ag#62
Memphis, TN 38103
Phone
(901) 545-6112
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G85468 CA Primary
Internal Medicine Physician 207R00000X 44210 TN

Addresses

Primary practice location

Regional Medical Center at Memphis
Adams Ag#62
Memphis, TN 38103

Mailing address

101 Ridge Rd
Fairfax, CA 94930-1975
Phone (209) 727-4715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44210TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G85468CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Tuolumne County PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients
County of Tuolumne PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1003885989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGE RD",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301975",
            "telephone_number": "209-727-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGIONAL MEDICAL CENTER AT MEMPHIS",
            "address_2": "ADAMS AG#62",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-545-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "JACK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G85468",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.