Memphis Pediatric Gastroenterology & Hepatology Pc
Pediatric Gastroenterology
Memphis Pediatric Gastroenterology & Hepatology Pc is a Memphis, Tennessee based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
806 Estate Pl, Memphis, Tennessee - 38120-0600. They can be contacted on phone at
901-287-4017 and fax number 901-287-4013.
NPI number (Unique professional ID) for Memphis Pediatric Gastroenterology & Hepatology Pc is
1750455945 which was assigned by NPPES on 20 Nov, 2006 and it was last updated on 22 Aug, 2020.
Memphis Pediatric Gastroenterology & Hepatology Pc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Memphis Pediatric Gastroenterology & Hepatology Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Memphis Pediatric Gastroenterology & Hepatology Pc |
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Business Address:
Memphis Pediatric Gastroenterology & Hepatology Pc 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 : | 806 Estate Pl
Memphis, TN, 38120-0600
United States |
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| Phone Number : | 901-287-4017 |
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| Fax Number : | 901-287-4013 |
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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 : | 1750455945 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 Nov, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robinl Reese |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 901-458-4282 |
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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 Memphis Pediatric Gastroenterology & Hepatology Pc are as mentioned. Primary taxonomy code for Memphis Pediatric Gastroenterology & Hepatology Pc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Memphis Pediatric Gastroenterology & Hepatology Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3387689 | Other | TN | AARP CLAIM UNIT |
| 3387689 | Other | TN | HEALTHSOURCE |
| 0048573 | Other | TN | BLUE CROSS GROUP ID |
| 84107 | Other | AR | ARK FIRST SOURCE |
| 84107 | Other | AR | BLUE CROSS OF ARKANSAS |
| 84107 | Other | AR | US ABLE ADMINISTRATOR |
| 09010528 | MEDICAID | MS | |
| 3387689 | 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 : | 2670 Union Avenue Ext, Suite 1220
Memphis, TN, 38112-4426
United States |
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| Phone Number : | 901-458-4282 |
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| Fax Number : | 901-458-8192 |
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Business Location:
Patients can refer following map for directions to
Memphis Pediatric Gastroenterology & Hepatology Pc 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.