Preventive Internal Medicine Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREVENTIVE INTERNAL MEDICINE GROUP PLLC

Practice address

6005 Park Ave
Suite 728B
Memphis, TN 38119

Phone

(901) 761-9097

Fax

(901) 682-7635

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Gordon Jerome Kraus, MDNPI 1306944913

Title

Partner

Phone

(901) 761-9097

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gordon Jerome Kraus, MD

  • Internal Medicine Physician
  • Germantown, TN
  • NPI 1306944913
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548371784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 728B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-761-9097",
            "fax_number": "901-682-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 728B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-761-9097",
            "fax_number": "901-682-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE INTERNAL MEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-761-9097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB4812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preventivemd, PLLC
• Jamie E Prewett
• Mary Ann Rabi Asturias Pria
• Stacey Arnett Price-Lewis, MSW,CMSW

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.