Thaddeus B Gaillard Jr. (NPI# 1558413807, PAC ID# 1658534144) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1558413807 |
| PAC ID by PECOS | 1658534144 |
| Professional Enrollment ID | I20120905000240 |
| Full Name | Thaddeus B Gaillard Jr. |
| Organization Legal Name | SPG II LLC |
| Address |
1264 Wesley Dr Memphis TN 38116-6445 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012177132 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1264 Wesley Dr, Memphis, TN 38116-6445 | SPG II LLC | |
| 7900 Airways Boulevard, Suite 101 Building B, Southaven, MS 38671-4113 | 6623494377 | SPG II LLC |
| 7900 Airways Boulevard, Southaven, MS 38671-4113 | 6623494377 | SPG II LLC |
| Organization Legal Name | SPG II LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharif A Abdus-salaam | Orthopedic Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Richard Alan Ellis | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Mark Page Miller | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Roger L Mcgee | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Kevin M Lunsford | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Jean-claude Loiseau | General Surgery | Spg II LLC | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6445 |
| Thomas B Beasley | General Surgery | Spg II LLC | 5480 Goodman Rd, Suite 3, Olive Branch, MS 38654-7902 |
| Anthony Hollins | Orthopedic Surgery | Spg II LLC | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6445 |
| Street Address |
1264 WESLEY DR |
| City | MEMPHIS |
| State | TN |
| Zip | 38116-6445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight M Moore | Obstetrics/gynecology | Ob Gyn Centers of Memphis,mpllc | 1264 Wesley Dr, Suite 402, Memphis, TN 38116-6447 |
| Sharif A Abdus-salaam | Orthopedic Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Richard Alan Ellis | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Mark Page Miller | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Roger L Mcgee | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Denise R Woods | Nurse Practitioner | 1264 Wesley Dr, Suite 103, Memphis, TN 38116-6433 | |
| Kevin M Lunsford | General Surgery | Spg II LLC | 1264 Wesley Dr, Memphis, TN 38116-6445 |
| Jean-claude Loiseau | General Surgery | Spg II LLC | 1264 Wesley Dr, Suite 302, Memphis, TN 38116-6445 |
| Wesley E Jones | Internal Medicine | 1264 Wesley Dr, Suite 303, Memphis, TN 38116-6445 | |
| Benjamin F Evans | Internal Medicine | 1264 Wesley Dr, Suite 206, Memphis, TN 38116-6444 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos D Cathey | Physical Therapy | 4092 Elvis Presley Blvd, Memphis, TN 38116-5827 | |
| Jimmy H Elam | Optometry | 3964 Elvis Presley Blvd, Memphis, TN 38116-5831 | |
| Helen Lim | Optometry | 4064 S Plaza Dr, Memphis, TN 38116-6335 | |
| Robert James Smith | General Surgery | 1067 E Raines Rd, Memphis, TN 38116-6336 | |
| Aneel Kumar | Internal Medicine | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Clare Mccarthy | Emergency Medicine | Thomas M. Carr Md, P.C. | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Rateesha Q Mcleod | Nurse Practitioner | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Corbi D Milligan | Hospitalist | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Ehud Ron Kamin | Internal Medicine | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Joe T Lequerica | Internal Medicine | Methodist Inpatient Physicians LLC | 1300 Wesley Dr, Memphis, TN 38116-6426 |
| Find all physicians in zip 38116 | |||
| City | MEMPHIS |
| Zip Code | 38116 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MEMPHIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Thaddeus B Gaillard Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.