Provider Type Icon

BAPTIST CANCER CENTER PHYSICIANS FOUNDATION INC. NPI 1558640458


NPI Information

NPI: 1558640458
Provider Name: BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC.

Doing Business As: BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6029 WALNUT GROVE RD STE 301
MEMPHIS, TN
ZIP 38120
Phone: (901) 747-9087
Get Directions

BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC. is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BAPTIST CANCER CENTER PHYSICIANS FOUNDATION, INC. NPI is 1558640458. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Cancer Center Physicians Foundation, Inc..

The provider's business location address is:

6029 WALNUT GROVE RD STE 301
MEMPHIS, TN
ZIP 38120-112
Phone: (901) 747-9087
Fax: (901) 747-9087

The provider's authorized official is Gregory M Duckett .
The authorized official title is Senior Vp/corp. Sec and has the following contact phone number (901) 227-5233.

The enumeration date for this NPI number is 8/9/2011 and was last updated on 3/2/2016.


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
1174400000XSpecialistYes

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
1103G709312MEDICARE PINTENNESSEE
2302G709320MEDICARE PINMISSISSIPPI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.