DR. SANTIAGO VERA MD NPI 1053377820

NPI Information

NPI: 1053377820
Provider Name: DR. SANTIAGO VERA, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1910 NONCONNAH BLVD
SUITE 120
MEMPHIS, TN
ZIP 38132
Phone: (901) 448-2300
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DR. Santiago Vera, MD is a transplant surgery in Memphis, TN. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Santiago Vera, MD NPI is 1053377820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1910 NONCONNAH BLVD
SUITE 120
MEMPHIS, TN
ZIP 38132-113
Phone: (901) 448-2300
Fax: (901) 448-6657

The NPI 1053377820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 7/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		11761	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3194541	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE
2	B04607	MEDICARE UPIN
3	3194548	MEDICAID	TENNESSEE
4	21365	OTHER	TENNESSEE	BC/BS TN
5	00122821	MEDICAID	MISSISSIPPI

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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