Rheumatology Specialty Clinic PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

43026 Issued in TN

Legal business name

RHEUMATOLOGY SPECIALTY CLINIC PLLC

Practice address

7660 Poplar Pike
Germantown, TN 38138-5941

Phone

(901) 753-8633

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sudha N. Ganguli, MDNPI 1639399769

Title

MD/Owner

Phone

(901) 756-8633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Sudha Nimmagadda Ganguli, M.D.

  • Specialist
  • Memphis, TN
  • NPI 1639399769
  Medicare reassignment NPD Authorized official
• Susan D Earl, NP

  • Acute Care Nurse Practitioner
  • Collierville, TN
  • NPI 1093931719
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1457580508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385941",
            "telephone_number": "901-753-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385941",
            "telephone_number": "901-753-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY SPECIALTY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "GANGULI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "901-756-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "43026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Residential Teletherapy
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• Julia Gates Rhea, LPC-MHSP
• Rheumatology East PLLC
• Jessica Rhoades
• Norman Dewaine Rice, ED.D.
• Susan E Rice, NURSE PRACTITIONER
• Richard Alan Ellis M.D,
• Brenda J Richardson, MD

• All providers in Germantown, TN
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.