Patientchoicemd, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PATIENTCHOICEMD, LLC

Practice address

3274 Wind Shadow CV
Memphis, TN 38125-0773

Phone

(270) 836-1613

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Timothy R Dukes

Title

President & Ceo

Phone

(270) 836-1613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1831721208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-836-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 WIND SHADOW CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250773",
            "telephone_number": "270-836-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTCHOICEMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "270-836-1613"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minesh Babul Pathak, M.D.
• Pathology Specialists of Memphis PC
• Pathways to Peace Home Care
• Pathways Toward Success
• Patient Support Services, Inc.
• Mahadev Patil, MD
• Elizabeth A Paton, RN,PNP,
• Miyoko Fujii Patricelli
• Patricia Chisholm, MD Primary Care
• Patricio a. Ilabaca, MD, PC

• Multi-Specialty Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.