Germantown Internal Medicine Associates,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD027101 Issued in TN

Legal business name

GERMANTOWN INTERNAL MEDICINE ASSOCIATES,PC

Practice address

7645 Wolf River Cir
Suite 202
Germantown, TN 38138-1751

Phone

(901) 348-6487

Fax

(901) 791-0338

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Theresa F Edmiston

Title

Administrator

Phone

(901) 340-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Nasir M Haque, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1346225620
  NPD
• Anirudh Rusia, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1427206978
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1083630560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "address_2": "DEPT 1298",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381590001",
            "telephone_number": "901-348-6487",
            "fax_number": "901-791-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR",
            "address_2": "SUITE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-348-6487",
            "fax_number": "901-791-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN INTERNAL MEDICINE ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "EDMISTON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-340-6777"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD027101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3711639T",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Germantown Behavioral Solutions PLLC
• Germantown Chiropractic Clinic PLLC
• Germantown Dental Group
• Germantown Dermatology LLC
• Germantown Emergency Physicians, PLLC
• Germantown OB-GYN Group PLLC
• Germantown Private Psychiatry PLLC
• Germantown Psychological Associates PC
• Germantown Smile Design PC (Pickwick Family Dental)
• Germantown Wellness & Preventive Medicine, PLLC

• Internal Medicine Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.