GASTROINTESTINAL SPECIALISTS FOUNDATION, INC (NPI# 1942546452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942546452 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC |
| Practice Address |
80 Humphreys Center Dr Ste 200 Memphis TN 38120-2352 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5800 |
| Practice Telephone | 9015782538 |
| Practice Fax Number | 9015782572 |
| Mailing Telephone | 9015782538 |
| Mailing Fax Number | 9015782572 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | GREGORY M DUCKETT (SR VP/CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
AR | Allopathic & Osteopathic Physicians | |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
TN | Allopathic & Osteopathic Physicians | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
TN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 367500000X | Nurse Anesthetist, Certified Registered | TN | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 201055002 | 05 | |
| AR | 201063002 | 05 |
| Street Address |
80 HUMPHREYS CENTER DR STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538383765 | Andre C Thompson | Pathology | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2007-04-12 |
| 1457831794 | Angela L Pulliam | Nurse Practitioner | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2018-08-16 |
| 1184988594 | James Zebedee Whatley | Internal Medicine | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120 | 2012-06-29 |
| 1831411396 | Michael Wayne Sims | Nurse Anesthetist, Certified Registered | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 |
| 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 |
| 1912112632 | Ian Trevor Gaillard | Internal Medicine | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-2597 | 2007-05-14 |
| 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.