Poplar Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

POPLAR PODIATRY PC

Practice address

993 Reddoch CV
Memphis, TN 38119-3614

Phone

(901) 681-9141

Fax

(901) 681-9149

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David G Shainberg, DPMNPI 1629048111

Title

President

Phone

(901) 681-9141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• David G Shainberg, DPM

  • Podiatrist
  • Memphis, TN
  • NPI 1629048111
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Benjamin Libby, DPM

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1639732126
  Medicare reassignment Care Compare group NPD
• Thomas E Ashbery, DPM

  • Podiatrist
  • Memphis, TN
  • NPI 1952371445
  Medicare reassignment NPD
• Brian David Horowitz, DPM

  • Podiatrist
  • West Memphis, AR
  • NPI 1336162221
  NPD (past)
• Stephen H Zimmerman, DPM

  • Podiatrist
  • West Memphis, AR
  • NPI 1801867122
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1386615797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 REDDOCH CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193614",
            "telephone_number": "901-681-9141",
            "fax_number": "901-681-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 REDDOCH CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193614",
            "telephone_number": "901-681-9141",
            "fax_number": "901-681-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "SHAINBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-681-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Podiatrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.