Poplar Medical, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

POPLAR MEDICAL, LLC

Practice address

5050 Poplar Ave Ste 1901
Memphis, TN 38157-0101

Phone

(901) 708-8600

Fax

(901) 730-1230

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Mary Smith

Title

Administrative Assistant

Phone

(901) 708-8600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1124620950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 1901",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570101",
            "telephone_number": "901-708-8600",
            "fax_number": "901-730-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 1901",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570101",
            "telephone_number": "901-708-8600",
            "fax_number": "901-730-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "901-708-8600"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Fletcher Pope, RD
• Ronald V Pope, CMSW
• Todd Pope, B.S.
• Poplar Avenue Clinic PLLC
• Poplar Healthcare, PLLC
• Poplar Podiatry PC
• Poplar Primary Care PC
• Ariel Ramiez Porcalla, M.D., M.P.H.
• Matthew Porch, RT(R)
• Porter Family Primary Care, LLC

• Rehabilitation Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.