Active NPI
One Health Family Clinic LLC
- Family Medicine Physician
- Bartlett, TN
National Provider Identifier
1033367651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Bartlett, TN
- NPI 1235268517
-
- Physician Assistant
- Bartlett, TN
- NPI 1578006565
-
- Pharmacist
- Lemon Grove, CA
- NPI 1578252490
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.