1013913714 NPI number — DR. DARLENE K CASH MD

Table of content: DR. DARLENE K CASH MD (NPI 1013913714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013913714 NPI number — DR. DARLENE K CASH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASH
Provider First Name:
DARLENE
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013913714
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 N HUMPHREYS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38120-2146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-322-9080
Provider Business Mailing Address Fax Number:
901-322-2994

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 N HUMPHREYS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38120-2146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-322-9080
Provider Business Practice Location Address Fax Number:
901-322-2994
Provider Enumeration Date:
06/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  12616 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RH0003X , with the licence number: 12616 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 117930001 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 422400000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3897997 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3874447 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4114472 . This is a "BCBS TN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 009985875 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: Q12616 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1479951 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50988 . This is a "BCBS AR" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 00126229 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64094634 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01751348 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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