Organization Active NPI

Telemedico Physicians Professional Corporation

  • Interventional Cardiology Physician
  • Memphis, TN
National Provider Identifier
1922520873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036079417 Issued in IL
Legal business name
TELEMEDICO PHYSICIANS PROFESSIONAL CORPORATION
Practice address
5490 Shady Grove Ter
Memphis, TN 38120-2414
Phone
(866) 227-3606
Fax
(773) 439-2444
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joel C Okner, MD
Title
Partner
Phone
(866) 227-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 036079417 IL Primary

Addresses

Primary practice location

5490 Shady Grove Ter
Memphis, TN 38120-2414

Mailing address

5490 Shady Grove Ter
Memphis, TN 38120-2414
Phone (866) 227-3606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922520873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 SHADY GROVE TER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202414",
            "telephone_number": "866-227-3606",
            "fax_number": "773-439-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 SHADY GROVE TER",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202414",
            "telephone_number": "866-227-3606",
            "fax_number": "773-439-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICO PHYSICIANS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OKNER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "866-227-3606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036079417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.