IAN TREVOR GAILLARD (NPI# 1912112632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912112632 |
| Entity Type | Individual |
| Full Name | IAN TREVOR GAILLARD |
| Credential | M.D. |
| Practice Address |
3725 Champion Hills Dr Suite 2000 Memphis TN 38125-2597 |
| Mailing Address |
Po Box 1000 Dept # 978 Memphis TN 38148-0001 |
| Practice Telephone | 9013679001 |
| Practice Fax Number | 9015658787 |
| Mailing Telephone | 9013679001 |
| Mailing Fax Number | 9015658787 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
49633 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3725 CHAMPION HILLS DR SUITE 2000 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895206 | Lawrence W Whitlock | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2005-07-18 |
| 1992068563 | Daniel Lee Magro Jr. | Family Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2012-06-19 |
| 1275852881 | Sarah E Corrigan | Physical Therapist | 3725 Champion Hills Dr, Ste 2050, Memphis, TN 38125-2597 | 2010-05-21 |
| 1568501096 | Tina Dickinson | Nurse Practitioner | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2007-02-05 |
| 1336285162 | Bridget Brady | Nurse Practitioner | 3725 Champion Hills Dr, #2000, Memphis, TN 38125-2597 | 2007-01-29 |
| 1689737272 | Debbie Tapp O'cain | Family Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-12-18 |
| 1376651919 | Sonali Salil Parikh | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-08-25 |
| 1245242817 | Southwind Endoscopy Center | Clinic/Center | 3725 Champion Hills Dr, #2000, Memphis, TN 38125-2597 | 2006-08-12 |
| 1710915061 | Ronald Michael | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-06-28 |
| 1447299896 | Southwind Medical Specialists, P. C. | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427358886 | James Jeremiah Upshaw | Internal Medicine | 421 Avon Rd, Memphis, TN 38117-1808 | 2010-11-01 |
| 1689684839 | Walter C Ifeadike | Internal Medicine | 6215 Humphreys Blvd Ste 300, Memphis, TN 38120-2382 | 2006-08-09 |
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1942546452 | Gastrointestinal Specialists Foundation, Inc | Internal Medicine | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2013-01-02 |
| 1184988594 | James Zebedee Whatley | Internal Medicine | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 2012-06-29 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| 1649505124 | Uchenna Agbim | Internal Medicine | 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 | 2009-10-16 |
| 1659558260 | Edward S Friedman | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2008-01-25 |
| 1568670321 | Muhammad Bilal | Internal Medicine | 2996 Kate Bond Rd Ste 105, Memphis, TN 38133-4062 | 2007-05-17 |
| 1790999753 | Randelon D Smith | Internal Medicine | 80 Humphreys Center Dr Ste 210, Memphis, TN 38120-2353 | 2007-05-09 |
| Find all providers in MEMPHIS | ||||
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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.