Memphis Cardiovascular Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MEMPHIS CARDIOVASCULAR CENTER

Practice address

6799 Great Oaks Rd
Suite 100
Memphis, TN 38138-2588

Phone

(901) 751-0405

Fax

(901) 751-9694

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Elizabeth Wiles, FNP-C

Title

Nurse Practitioner

Phone

(901) 751-0405

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David HS Iansmith, MD PHD

  • Cardiovascular Disease Physician
  • Memphis, TN
  • NPI 1477585768
  NPD (past)
• Rick J Lloyd, MSN FNP C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1164412193
  NPD (past)
• Marianne Elizabeth Person, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Memphis, TN
  • NPI 1073231825
  NPD (past)
• Shivani Shah, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1083164842
  NPD (past)
• Mohamed Bashar Abou Shala, MD

  • Interventional Cardiology Physician
  • Memphis, TN
  • NPI 1841277308

  Cardiovascular Disease

  NPD (past)
• Tatiana Elena Swanson, DNP

  • Family Nurse Practitioner
  • Germantown, TN
  • NPI 1275367252
  NPD (past)
• Justin B Tucker, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1669717328
  NPD (past)
• Ryan Martin Tyner, PA

  • Physician Assistant
  • Memphis, TN
  • NPI 1710583596
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1063873909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-751-0405",
            "fax_number": "901-751-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-751-0405",
            "fax_number": "901-751-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CARDIOVASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-751-0405",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis at Home With Care L.L.C
• Memphis Business Academy High
• Memphis Business Academy Middle
• Memphis Cardiac Care Center, PLLC
• Memphis Cardiology PLC
• Memphis Center for Independent Living
• Memphis Center for Mindful Living, LLC
• Memphis Center for Reproductive Health
• Memphis Center for Reproductive Health
• Memphis Center for Women and Families

• Cardiovascular Disease Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.