Complete Medical Care Germantown, LP

Primary specialty

SpecialistTaxonomy code 174400000X

License

6493 Issued in TN

Legal business name

COMPLETE MEDICAL CARE GERMANTOWN, LP

Practice address

2195 West St
Germantown, TN 38138-3830

Phone

(901) 752-4999

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Puvey

Title

Directing Manager

Phone

(901) 752-4999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1740426998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383830",
            "telephone_number": "901-752-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383830",
            "telephone_number": "901-752-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL CARE GERMANTOWN, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "PUVEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTING MANAGER",
        "authorized_official_telephone_number": "901-752-4999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "6493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Collins, OTD
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• John Chris Connell, CRNA

• Specialist in Germantown, TN
• Providers in Germantown, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.