ENDOSCOPY CENTER OF THE MID-SOUTH, LLC (NPI# 1831249341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831249341 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF THE MID-SOUTH, LLC |
| Practice Address |
3960 Knight Arnold Rd Suite 117 Memphis TN 38118-3035 |
| Practice Telephone | 9013698509 |
| Practice Fax Number | 9013698466 |
| Mailing Telephone | 9013698509 |
| Mailing Fax Number | 9013698466 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. TARIQ KHAN (PHYSICIAN) |
| Authorized Official Telephone | 9013698509 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3288955 | 05 |
| Street Address |
3960 KNIGHT ARNOLD RD SUITE 117 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646911 | Eugene Eaton Mckenzie | Internal Medicine | 3960 Knight Arnold Rd, Suite 322, Memphis, TN 38118-3035 | 2006-02-02 |
| 1104297639 | Dependable Care LLC | Nurse Practitioner | 3960 Knight Arnold Rd, Ste 115, Memphis, TN 38118-3035 | 2015-10-09 |
| 1407247315 | Valarie Kershaw-berry | Nurse Practitioner | 3960 Knight Arnold Rd, Ste 108, Memphis, TN 38118-3035 | 2015-02-13 |
| 1811398944 | Renatus Professional Association | Internal Medicine | 3960 Knight Arnold Rd, Memphis, TN 38118-3035 | 2014-09-08 |
| 1144504705 | Dialysis Newco, Inc. | Clinic/Center | 3960 Knight Arnold Rd, Suite 107, Memphis, TN 38118-3001 | 2011-09-30 |
| 1548596158 | Createhealth LLC | Clinic/Center | 3960 Knight Arnold Rd, Suite 302, Memphis, TN 38118-3035 | 2009-11-02 |
| 1164758124 | Jeffrey B Stricklin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 108, Memphis, TN 38118-3035 | 2009-10-27 |
| 1518117043 | Orthonow, Pllc | Orthopaedic Surgery | 3960 Knight Arnold Rd, Suite 106, Memphis, TN 38118-3035 | 2008-09-20 |
| 1760643738 | Tennessee Cardiovascular Institute | Internal Medicine | 3960 Knight Arnold Rd, Suite 215, Memphis, TN 38118-3035 | 2008-06-22 |
| 1629237292 | Memphis Primary Care Specialists | Family Medicine | 3960 Knight Arnold Rd, Suite 102, Memphis, TN 38118-3035 | 2008-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467732 | G I Diagnostic and Therapeutic Center LLC | Clinic/Center | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-13 |
| 1821082702 | Clarksville Endoscopy Center | Clinic/Center | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2005-09-07 |
| 1770859738 | Clarksville Endoscopy Center LLC | Clinic/Center | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2012-03-23 |
| 1174859516 | Hermitage Tn Endoscopy Asc, LLC | Clinic/Center | 5653 Frist Blvd, Suite 532, Hermitage, TN 37076-2062 | 2009-10-20 |
| 1326176215 | Nashville Gastrointestinal Specialists, LLC | Clinic/Center | 4230 Harding Road, Suite 309w, Nashville, TN 37205-2013 | 2007-03-01 |
| 1801923636 | Nashville Gastrointestinal Specialists, LLC | Clinic/Center | 2010 Church Street, Suite 420, Nashville, TN 37203-2012 | 2007-02-28 |
| 1790811222 | Nashville Gastroenterology and Hepatology, PC | Clinic/Center | 330 Wallace Rd, Suite 103, Nashville, TN 37211-4893 | 2007-02-26 |
| 1326142878 | Lebanon Endoscopy Center LLC | Clinic/Center | 100 Physicians Way, Suite 340, Lebanon, TN 37090-8103 | 2006-09-12 |
| 1982718524 | Gastrointestinal Specialists of Clarksville, PC | Clinic/Center | 280 Warfield Blvd, Clarksville, TN 37043-1828 | 2006-08-19 |
| 1235140385 | Endoscopy Center of Kingsport | Clinic/Center | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
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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.