Carl F Pean, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30641 Issued in TN

Practice address

3530 Hickory Hill Rd
Memphis, TN 38115-3840

Phone

(901) 881-6686

Fax

(901) 881-6690

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Amisub (SFH), Inc.

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  NPD (past)
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  NPD (past)
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  NPD (past)
• University of Tennessee

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174221337
  NPD (past)
• University of Tennessee

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1598767980
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1063461002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 HICKORY HILL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153840",
            "telephone_number": "901-881-6686",
            "fax_number": "901-881-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HICKORY HILL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153840",
            "telephone_number": "901-881-6686",
            "fax_number": "901-881-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAN",
        "first_name": "CARL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4049465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peaceful Transitions in-Home Care Services Inc
• Peacock Transportation LLC
• Victoria Peacock, CRNA
• Peak Mind Mental Health
• Paul Peak, PHARMD
• Patricia Ann Pearce, LCSW
• Phillip Pearce, BCBA, LBA
• Pearl'S House Inc
• Pearle Vision Center
• Eugene Stanley Pearlman, MD

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.