NPIMap

Organization Active NPI

Threlkeld Threlkeld and Omer PLLC

  • Infectious Disease Physician
  • Memphis, TN
National Provider Identifier
1982748133
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
THRELKELD THRELKELD AND OMER PLLC
Practice address
1068 Cresthaven Rd
Suite 250
Memphis, TN 38119-0800
Phone
(901) 865-3490
Fax
(901) 864-3499
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Michael G Threlkeld, M.D.
Title
Owner Partner
Phone
(901) 685-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1068 Cresthaven Rd
Suite 250
Memphis, TN 38119-0800

Mailing address

1068 Cresthaven Rd
Suite 250
Memphis, TN 38119-0800
Phone (901) 865-3490

National Provider Directory

National Provider Directory

Locations

5210 Poplar Ave
#200
Memphis, TN 38119
Phone (901) 685-3490

6029 Walnut Grove Rd
#C2
Memphis, TN 38120
Phone (901) 685-3490

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1982748133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-865-3490",
            "fax_number": "901-864-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-865-3490",
            "fax_number": "901-864-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRELKELD THRELKELD AND OMER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "THRELKELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "901-685-3490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "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 6, 2011; 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.