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PEDIATRIC EMERGENCY SPECIALISTS PC NPI 1760482434


NPI Information

NPI: 1760482434
Provider Name: PEDIATRIC EMERGENCY SPECIALISTS, PC
Classification: Emergency Medicine - 207PP0204X
Entity Type: Organization

Specialization: Pediatric Emergency Medicine

CLIA Number: 44D2141626

Address:
848 ADAMS AVE
MEMPHIS, TN
ZIP 38103
Phone: (901) 287-6112
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PEDIATRIC EMERGENCY SPECIALISTS, PC is a pediatric emergency medicine emergency medicine in Memphis, TN. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. PEDIATRIC EMERGENCY SPECIALISTS, PC NPI is 1760482434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

848 ADAMS AVE
MEMPHIS, TN
ZIP 38103-816
Phone: (901) 287-6112

The provider's authorized official is William R Hanna .
The authorized official title is President and has the following contact phone number (901) 287-6112.

The CLIA number assigned to this NPI record is 44D2141626 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 1/3/2015.


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
1207PP0204XEmergency MedicinePediatric Emergency MedicineN/ATENNESSEEYes

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
13379568MEDICAIDTENNESSEE
23379568MEDICARE PINTENNESSEE

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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