MEDICAL CENTER ENDOSCOPY GROUP NPI 1083646491

NPI Information

  • NPI: 1083646491
  • Provider Name: MEDICAL CENTER ENDOSCOPY GROUP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 80 HUMPHREYS CTR
    #200
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 578-2538

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NPI Details

MEDICAL CENTER ENDOSCOPY GROUP is an ambulatory surgical clinic center in Memphis, TN. MEDICAL CENTER ENDOSCOPY GROUP NPI is 1083646491. The provider is registered as an organization entity type.

The provider's business location address is:

80 HUMPHREYS CTR
#200
MEMPHIS, TN
ZIP 38120-353
Phone: (901) 578-2538
Fax: (901) 578-2572

The provider's authorized official is Christopher A Holden .
The authorized official title is Chief Manager Of The Llc and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/28/2007.

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
1261QA1903XClinic/CenterAmbulatory Surgical0000000046TENNESSEEYes

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
13287680MEDICARE PIN
23006899OTHERTENNESSEEBLUE CROSS OF TENNESSEE
33287680MEDICAIDTENNESSEE

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: 11/21/2025

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