ABDELHAFEEZ H ABDELHAFEEZ (NPI# 1558619213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558619213 |
| Entity Type | Individual |
| Full Name | ABDELHAFEEZ H ABDELHAFEEZ |
| Credential | MD |
| Practice Address |
262 Danny Thomas Pl Memphis TN 38105 |
| Mailing Address |
262 Danny Thomas Pl # Ms 515 Memphis TN 38105-3678 |
| Practice Telephone | 8882264343 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
57019 | TN | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
57621 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
262 DANNY THOMAS PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1023618907 | James Michael Burgess | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-10-29 |
| 1669098273 | Cassandra Gerhart | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-06-19 |
| 1275152589 | Katherine Farabee Bailey | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-04-16 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| 1285274639 | Alise Murray | Genetic Counselor, MS | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-14 |
| 1053951566 | Mary Margaret Benson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-13 |
| 1164062071 | Erma Louise Davis | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-08 |
| 1821637216 | Heather Gaye Havens | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-02 |
| 1811534837 | Cody Elizabeth Mcmillan | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950934 | Horace Norman Noe | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2006-09-13 |
| 1861810319 | Israel Fernandez-pineda | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2014-04-02 |
| 1336403021 | Hong Pheng Amos Loh | Surgery | 262 Danny Thomas Pl, Department of Surgery, Memphis, TN 38105-3678 | 2012-06-27 |
| 1437319621 | Mark A Williams M D Pllc | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2008-06-11 |
| 1659531861 | Lindsay Jones Talbot | Surgery | 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105 | 2008-06-11 |
| 1215131792 | Andrew Murphy | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-06-11 |
| 1205047727 | Ying Zhuge Weatherall | Surgery | 51 N Dunlap St Fl 2, Memphis, TN 38105-4625 | 2007-05-25 |
| 1548477722 | Adrianne Lee Myers-webb | Surgery | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2007-05-17 |
| 1104047083 | Ankush Gosain | Surgery | 51 N Dunlap St, Ste. 235, Memphis, TN 38105-4625 | 2007-05-01 |
| 1811903255 | Florence C. Lewis | Surgery | 6027 Walnut Grove Rd Ste 319, Memphis, TN 38120-2128 | 2006-07-31 |
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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.