Organization Active NPI

One Health Family Clinic LLC

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1033367651
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONE HEALTH FAMILY CLINIC LLC
Practice address
6570 Stage Rd
Suite 245
Bartlett, TN 38134-2839
Phone
(816) 651-7772
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Lam Thanh Nguyen
Title
Manager
Phone
(619) 757-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6570 Stage Rd
Suite 245
Bartlett, TN 38134-2839

Mailing address

3364 Wolf Shadow LN
Bartlett, TN 38133-2895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000420 TN Part B Supplier - Clinic/Group Practice 6103983499 Receives reassigned benefits from 2 practitioners
Practice locations: Bartlett, TN

National Provider Directory

National Provider Directory

Locations

6570 Stage Rd
Bartlett, TN 38134

6490 Stage Rd
Ste 106
Bartlett, TN 38134
Phone (901) 746-9888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1033367651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 WOLF SHADOW LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 STAGE RD",
            "address_2": "SUITE 245",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342839",
            "telephone_number": "816-651-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEALTH FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAM",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-757-3451"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.