Provider Demographics
NPI:1629281712
Name:SAXTON HEART CLINIC PC
Entity Type:Organization
Organization Name:SAXTON HEART CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:901-761-9998
Mailing Address - Street 1:6055 PRIMACY PKWY STE 125
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5701
Mailing Address - Country:US
Mailing Address - Phone:901-761-9998
Mailing Address - Fax:901-761-9991
Practice Address - Street 1:6055 PRIMACY PKWY STE 125
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5701
Practice Address - Country:US
Practice Address - Phone:901-761-9998
Practice Address - Fax:901-761-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD11627207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ76593Medicare UPIN
TN3344541Medicare ID - Type UnspecifiedLEON TURNER FNP
TN3852257Medicare ID - Type Unspecified
TND32177Medicare UPIN