GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC (NPI# 1164965406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164965406 |
Entity Type | Organization |
Organization Name | GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC |
Practice Address |
3350 N Germantown Rd Bartlett TN 38133-4026 |
Mailing Address |
1419 Kensington Square Ct Murfreesboro TN 37130-6939 |
Practice Telephone | 9017473630 |
Practice Fax Number | 8557446439 |
Mailing Telephone | 6153969080 |
Mailing Fax Number | 8557446439 |
Enumeration Date | 2016-11-18 |
Last Update Date | 2016-11-18 |
Authorized Official Name | SHEILA WILLIAMS (ANCILLARY SERVICES MANAGER) |
Authorized Official Telephone | 9017473630 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
1275076416 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 2999 Centre Oak Way, Germantown, TN 38138-6308 | 2016-11-21 |
1457894693 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 8000 Wolf River Blvd, Ste. 200, Germantown, TN 38138-1754 | 2016-11-21 |
1396288668 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 76 Capital Way, Ste. E, Atoka, TN 38004-6832 | 2016-11-18 |
1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
1639611999 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-11-17 |
1871978064 | Gastroenterology Center of The Midsouth PC | Pharmacy | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2015-07-29 |
Street Address |
3350 N GERMANTOWN RD |
City | BARTLETT |
State | TN |
Zip Code | 38133-4026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083695704 | Raif Wassef Elsakr | Internal Medicine | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2005-11-09 |
1851374300 | Carles Raylor Surles Jr. | Internal Medicine | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2005-11-29 |
1063495505 | David Dale Sloas | Internal Medicine | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2005-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
Find all providers in zip 38133 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225526627 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 820 W Bartlett Rd, Bartlett, IL 60103-4402 | 2018-05-01 |
1053702662 | Suburban Orthopaedics Ltd | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-02-18 |
1659776425 | Suburban Orthopaedics | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2014-10-23 |
1770732430 | Central Dupage Health | Non-Pharmacy Dispensing Site | 820 Route 59, Bartlett, IL 60103 | 2008-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.