Basic Information
Provider Information | |||||||||
NPI: | 1386631976 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | CURLEE | ||||||||
FirstName: | PATRICK | ||||||||
MiddleName: | M | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: | SR. | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 6077 PRIMACY PKWY STE 140 | ||||||||
Address2: |   | ||||||||
City: | MEMPHIS | ||||||||
State: | TN | ||||||||
PostalCode: | 381195754 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9016413000 | ||||||||
FaxNumber: | 9017022400 | ||||||||
Practice Location | |||||||||
Address1: | 2100 EXETER RD STE 200 | ||||||||
Address2: |   | ||||||||
City: | GERMANTOWN | ||||||||
State: | TN | ||||||||
PostalCode: | 381383966 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9016413000 | ||||||||
FaxNumber: | 9013733804 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/29/2005 | ||||||||
LastUpdateDate: | 05/05/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 05/05/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 31246 | TN | N |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   | 207XS0117X | 31246 | TN | Y |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
ID Information
ID | Type | State | Issuer | Description | T18020A | 01 | TN | MEDICARE PIN | OTHER | T18020A | 01 | TN | TN MEDICARE | OTHER | 613565400 | 01 | TN | DEPT OF LABOR | OTHER | P00656394 | 01 | TN | RAILROAD MEDICARE | OTHER | 6145840002 | 01 | TN | MEDICARE DME | OTHER | 4189550 | 01 | TN | BC BS | OTHER |