David Struble, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD39794 Issued in TN

Practice address

6005 Park Ave
Suite 630B
Memphis, TN 38119-5202

Phone

(901) 767-1136

Fax

(901) 767-0476

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Tennessee, HSC, College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vogelfanger and Struble ClinicGroup PAC ID 6608963954, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Vogelfanger and Struble Clinic

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1508895764
  Medicare reassignment Care Compare group NPD
• Keystone Memphis LLC

  • Psychiatric Residential Treatment Facility
  • Dyersburg, TN
  • NPI 1083634596
  NPD (past)
• Keystone Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1063431294
  NPD (past)
• Keystone Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1851072201
  NPD (past)
• Uhs of Lakeside LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1083687651
  NPD (past)
• Uhs of Parkwood Inc

  • Psychiatric Hospital
  • Olive Branch, MS
  • NPI 1093785859
  NPD (past)
• Woodridge Northeast, LLC

  • Psychiatric Residential Treatment Facility
  • West Memphis, AR
  • NPI 1134305436
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1710919352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HARBOR BEND RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381030819",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD39794",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "MD39794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maury Strong, MD
• Paula Strong, CRNA
• Philinese Strong, PT
• Lillian Stroshine, WHNP-BC, FNP-C, RN
• Amber Nichelle Struble, APRN
• John Stuart, M.D.
• Joseph Reddie Quiambao Stuart
• Leslie Stuart Jr., PHARMD.
• Walter H Stuart IV, CRNA
• Matisa Lea Stubbs, SLP

• Child & Adolescent Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Child & Adolescent Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.