Memphis Pediatric Gastroenterology & Hepatology Pc

LBN: Memphis Pediatric Gastroenterology & Hepatology Pc
Memphis Pediatric Gastroenterology & Hepatology Pc is an health care organization with primary practice located at 806 Estate Pl , Memphis TN 38120-0600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Memphis Pediatric Gastroenterology & Hepatology Pc can be contacted via phone (901) 287-4017, or through Reese, Robin L via phone (901) 458-4282.

Contact Information

Primary practice address
806 Estate Pl Memphis TN 38120-0600
Phone: (901) 287-4017
Fax: (901) 287-4013
Website:
Map and Directions
Authorized official contact:
Name: Reese, Robin L
Phone: (901) 458-4282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1750455945
LBN Legal business name Memphis Pediatric Gastroenterology & Hepatology Pc
DBA Doing business as
Authorized official Reese, Robin L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750455945 NPPES
Tennessee Other 0048573 BLUE CROSS GROUP ID
Tennessee Other 3387689 BLUE CROSS GROUP ID
Tennessee MEDICAID 09010528 BLUE CROSS GROUP ID
Tennessee Other 3387689 BLUE CROSS GROUP ID
Tennessee Other 84107 BLUE CROSS GROUP ID
Tennessee Other 84107 BLUE CROSS GROUP ID
Tennessee MEDICAID 3387689 BLUE CROSS GROUP ID
Tennessee Other 84107 BLUE CROSS GROUP ID

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