Grassdale Med PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GRASSDALE MED PC

Practice address

3937 Minden Rd
Memphis, TN 38111-7707

Phone

(615) 815-7673

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

J. Oliver Banks III

Title

President

Phone

(615) 815-7673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1730532821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 MINDEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117707",
            "telephone_number": "615-815-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 MINDEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117707",
            "telephone_number": "615-815-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSDALE MED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "J. OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-815-7673",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Grant, LPC
• Meliah Grant
• Natarsha Denine Grant, MD
• Vicki J Grant
• Winston Anthony Granville, RRT
• Grateful Transportation Services Inc
• Rebecca A Graubart, DOCTOR OF PHARMACY
• Donald St. Paul Gravenor, M.D.
• Shawnya Graves Graves Messenger, RPH
• Benjamin Martin Graves, P.T.

• Urgent Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.