Individual provider Active NPI

Daniel Poor

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1316352099
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
56527 Issued in TN
Practice address
Baptist Memorial Hospital Memphis
124 N. Humphrey'S Blvd
Memphis, TN 38120
Phone
(902) 226-5000
NPI assigned
Jun 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-10782 AR
Emergency Medicine Physician 207P00000X 25383 MS
Student in an Organized Health Care Education/Training Program 390200000X #39 NJ
Emergency Medicine Physician 207P00000X 56527 TN Primary

Addresses

Primary practice location

Baptist Memorial Hospital Memphis
124 N. Humphrey'S Blvd
Memphis, TN 38120

Mailing address

8675 Wine Leaf CV
Germantown, TN 38139-4443
Phone (646) 645-9779

Other practice location 1

234 Eagle Rock Ave Apt 11C
West Orange, NJ 07052-5048
Phone (646) 645-9779

Other practice location 2

TeamHealth Centerpoint Boulevard suit 100
Knoxville, TN 37932
Phone (646) 645-9779

Other identifiers 2

IdentifierTypeStateIssuer
12345MedicaidNJ
1316352099MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180828002405 TN Practitioner - Emergency Medicine 3375892151 Reassigns benefits to 10 organizations
I20180911001818 AR Practitioner - Emergency Medicine 3375892151 Reassigns benefits to 1 organization
I20181213000886 MS Practitioner - Emergency Medicine 3375892151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Practice addresses (Care Compare)

7402 Lee Hwy
Chattanooga, TN 37421-1405
Phone (423) 242-9750

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
#39NJMDDentist
56527TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 10, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 10, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 25, 2021 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Feb 10, 2024 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 10, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 10, 2024 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1316352099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 WINE LEAF CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381394443",
            "telephone_number": "646-645-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAPTIST MEMORIAL HOSPITAL MEMPHIS",
            "address_2": "124 N. HUMPHREY'S BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "902-226-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Eagle Rock Ave Apt 11C",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525048",
            "country_code": "US",
            "telephone_number": "646-645-9779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "TeamHealth Centerpoint Boulevard suit 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37932",
            "country_code": "US",
            "telephone_number": "646-645-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOR",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10782",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "25383",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "#39",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "56527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12345",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316352099",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.