Dr. Gregory L Stidham
MD | Pediatric Critical Care Medicine | Male
Dr. Gregory L Stidham, MD is a Memphis, Tennessee based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Gregory L Stidham is
1910 Nonconnah Blvd, Suite 120, Memphis, Tennessee - 38132-2113. He can be contacted on phone at
901-448-2300 and fax number 901-448-6657.
Dr. Gregory L Stidham is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gregory L Stidham is
1366409666 which was assigned by NPPES on 28 Apr, 2006 and it was last updated on 08 Jul, 2007.
Dr. Gregory L Stidham license number is
12680 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Tennessee.
Dr. Gregory L Stidham is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Gregory L Stidham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Dr. Gregory L Stidham |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Gregory L Stidham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1910 Nonconnah Blvd, Suite 120
Memphis, TN, 38132-2113
United States |
|---|
| Phone Number : | 901-448-2300 |
|---|
| Fax Number : | 901-448-6657 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366409666 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 28 Apr, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory L Stidham are as mentioned. Primary taxonomy code for Dr. Gregory L Stidham, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 12680 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gregory L Stidham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3180615 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 66 N Pauline St, Suite 206
Memphis, TN, 38105-5105
United States |
|---|
| Phone Number : | 901-448-7642 |
|---|
| Fax Number : | 901-448-8015 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Gregory L Stidham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.