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MEMPHIS PEDIATRIC HEART NPI 1295080190


NPI Information

NPI: 1295080190
Provider Name: MEMPHIS PEDIATRIC HEART
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
80 HUMPHREYS CENTER
SUITE 230
MEMPHIS, TN
ZIP 38120
Phone: (901) 259-2440
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MEMPHIS PEDIATRIC HEART is a pediatric cardiology pediatrics in Memphis, TN. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. MEMPHIS PEDIATRIC HEART NPI is 1295080190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 HUMPHREYS CENTER
SUITE 230
MEMPHIS, TN
ZIP 38120
Phone: (901) 259-2440
Fax: (901) 259-2444

The provider's authorized official is James K Stamps .
The authorized official title is Owner and has the following contact phone number (901) 259-2440.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 1/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology38471TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103G374694OTHERTENNESSEEMEDICARE GROUP PTAN NUMBER
21529767MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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