Poplar Primary Care PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

26031 Issued in TN

Legal business name

POPLAR PRIMARY CARE PC

Practice address

3445 Poplar Ave
Suite100
Memphis, TN 38111-4667

Phone

(901) 323-7651

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Gumersindo Leal, MD

Title

Owner

Phone

(901) 323-7651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1699947713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "SUITE100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-323-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "SUITE100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-323-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "GUMERSINDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-323-7651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "26031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.