Park Highland Medical Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARK HIGHLAND MEDICAL CLINIC, PLLC

Practice address

3836 Park Ave
Memphis, TN 38111-6633

Phone

(901) 324-3984

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sudha Prasad, M.D.NPI 1013083781

Title

Physician

Phone

(901) 324-3984

Specialties & licenses 2

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 R Prasad, MD

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1013083781
  Medicare reassignment Care Compare group NPD Authorized official
• Bheerendra Ramanna Prasad, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1831318286
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1689855124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17962",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116633",
            "telephone_number": "901-324-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HIGHLAND MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-324-3984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalit Parida, MBBS,M.CH
• Poojan Anandbhai Parikh, MD
• Andrea Marie Parish, MA, BCBA
• Jada Alexius Parish
• Park Avenue Emergency Physicians
• Park Station Dental Group
• Julia Park, LMSW
• Julie Ruggieri Park, MD
• Karen Sophia Park, MD
• Paul Park, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.