Individual provider Active NPI

Jane Kirk Alissandratos, M.D.

  • Rheumatology Physician
  • Cordova, TN
National Provider Identifier
1497746838
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
12486 Issued in TN
Practice address
540 Trinity Creek CV
Cordova, TN 38018-2279
Phone
(901) 309-5000
Fax
(901) 309-5008
NPI assigned
Nov 3, 2005
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 12486 TN Primary

Addresses

Primary practice location

540 Trinity Creek CV
Cordova, TN 38018-2279

Mailing address

540 Trinity Creek CV
Cordova, TN 38018-2279
Phone (901) 309-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology & Osteoporosis Center of Memphis, P.C CurrentSince Jan 1, 2009 Accepting new patients

Locations

540 Trinity Creek Cv
Cordova, TN 38018
Phone (901) 309-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1497746838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-309-5000",
            "fax_number": "901-309-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 TRINITY CREEK CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-309-5000",
            "fax_number": "901-309-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISSANDRATOS",
        "first_name": "JANE",
        "middle_name": "KIRK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "12486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.