Ideal Health Solutions, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35915 Issued in TN

Legal business name

IDEAL HEALTH SOLUTIONS, LLC

Practice address

346 New Byhalia Rd Ste 3
Collierville, TN 38017-3741

Phone

(901) 853-1734

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Glen Raymond Burford, D.C.NPI 1417099631

Title

Owner

Phone

(901) 853-1734

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen Raymond Burford, DC

  • Rehabilitation Chiropractor
  • Collierville, TN
  • NPI 1417099631
  Medicare reassignment Care Compare group NPD Authorized official
• Annette Denise Caple, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1013250166
  Medicare reassignment Care Compare group NPD
• Brittany Dye, FNP-C,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Collierville, TN
  • NPI 1407301567
  Medicare reassignment NPD
• Jeffrey Harris Lowrey, MD

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1154314755
  Medicare reassignment NPD

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1811442452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 NEW BYHALIA RD STE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173741",
            "telephone_number": "901-853-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 NEW BYHALIA RD STE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173741",
            "telephone_number": "901-853-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-853-1734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "35915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ester Joy Hutchinson, PH.D., LPC-MHSP, NCC
• Alexis Sink Hutchison, PT
• Brenda Lee Hwang
• Amy Hyde, FNP-BC
• Mofoluwaso Ibiwoye, MD
• Ideal Structural Therapy
• Elesia Ingram
• Insight Clinic, PLLC
• Integrity Oncology Foundation, Inc.
• Integrity Oncology, PLLC

• General Practice Physician in Collierville, TN
• Providers in Collierville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.