MEDICARE: MEMPHIS CARDIOLOGY PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207UN0901X	Nuclear Cardiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144273558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMPHIS CARDIOLOGY PLC

Provider Business Mailing Address
First Line	:	PO BOX 2153 DEPT 51051
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35287-9306
Country	:	US
Telephone Number	:	901-382-1200
Fax Number	:	901-382-8070

Provider Business Practice Location Address
First Line	:	6005 PARK AVE
Second Line	:	SUITE 225 B
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5202
Country	:	US
Telephone Number	:	901-767-6765
Fax Number	:	901-767-9639

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	KRISTA OSBORN
Credential	:	BILLING MANAGER
Telephone Number	:	901-382-1200

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	06/02/2026

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Directions to “MEMPHIS CARDIOLOGY PLC ” Practice Location

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