Active NPI
Internal Medicine East, PC
- Internal Medicine Physician
- Cordova, TN
National Provider Identifier
1861412397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE EAST, PC
- Practice address
- 8138 Country Village Dr
Cordova, TN 38016-2029 - Phone
- (901) 755-5556
- Fax
- (901) 755-1113
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lanora D Gass
- Title
- Office Manager
- Phone
- (901) 755-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8138 Country Village Dr
Cordova, TN 38016-2029
Mailing address
PO Box 1419
Cordova, TN 38088-1419
Phone (901) 755-5556
National Provider Directory
National Provider DirectoryLocations
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1184647166
-
- Internal Medicine Physician
- Cordova, TN
- NPI 1225051246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1861412397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1419",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380881419",
"telephone_number": "901-755-5556",
"fax_number": "901-755-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8138 COUNTRY VILLAGE DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162029",
"telephone_number": "901-755-5556",
"fax_number": "901-755-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE EAST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "GASS",
"authorized_official_first_name": "LANORA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "901-755-5556"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
- Brandon Martel Ingram
- Sheltrease Ingram
- Integrated Physicians Services
- Internal Health and Medical Services LLC
- Internal Medicine Associates of Cordova, PLLC
- International Rehabilitative Sciences, Inc.
- Kenneth L. Isaacman, D.D.S.
- Phillip Edward Isaacman, D.D.S.
- Charlotte Isabel
- Sharon Demetris Isabel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.