Active NPI
Memphis Cardiac Care Center, PLLC
- Clinical Cardiac Electrophysiology Physician
- Memphis, TN
National Provider Identifier
1053362749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD0000035150
- Legal business name
- MEMPHIS CARDIAC CARE CENTER, PLLC
- Practice address
- 1325 Eastmoreland Ave
Suite 440
Memphis, TN 38104-3519 - Phone
- (901) 722-8884
- Fax
- (901) 276-1436
- NPI assigned
- May 15, 2006
- 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
- Sunil Jha, M.D.
- Title
- President
- Phone
- (901) 722-8884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD0000035150 | TN | Primary |
Addresses
Primary practice location
1325 Eastmoreland Ave
Suite 440
Memphis, TN 38104-3519
Mailing address
PO Box 381588
Germantown, TN 38183-1588
Phone (901) 722-8884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3863065 | Medicaid | TN | |
| 00124374 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1211 Union Ave
Ste 310
Memphis, TN 38104
Phone (901) 309-1777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- Memphis, TN
- NPI 1639122054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1053362749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381588",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831588",
"telephone_number": "901-722-8884",
"fax_number": "901-276-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 EASTMORELAND AVE",
"address_2": "SUITE 440",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043519",
"telephone_number": "901-722-8884",
"fax_number": "901-276-1436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS CARDIAC CARE CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "JHA",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-722-8884",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TN",
"license": "MD0000035150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863065",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124374",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Memphis and Shelby County Health Dept.
- Memphis Area Perfusion (Map)
- Memphis at Home With Care L.L.C
- Memphis Business Academy High
- Memphis Business Academy Middle
- Memphis Cardiology PLC
- Memphis Cardiovascular Center
- Memphis Center for Independent Living
- Memphis Center for Mindful Living, LLC
- Memphis Center for Reproductive Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.