Active NPI
Medical Center Endoscopy Group
- Ambulatory Surgical Clinic/Center
- Memphis, TN
National Provider Identifier
1083646491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000046
- Legal business name
- MEDICAL CENTER ENDOSCOPY GROUP
- Practice address
- 80 Humphreys Ctr
#200
Memphis, TN 38120-2353 - Phone
- (901) 578-2538
- Fax
- (901) 578-2572
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher A Holden
- Title
- Chief Manager of the LLC
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000046 | TN | Primary |
Addresses
Primary practice location
80 Humphreys Ctr
#200
Memphis, TN 38120-2353
Mailing address
80 Humphreys Ctr
#200
Memphis, TN 38120-2353
Phone (901) 578-2538
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3006899 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3287680 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Harvey, IL
- NPI 1144245234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1083646491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR",
"address_2": "#200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202353",
"telephone_number": "901-578-2538",
"fax_number": "901-578-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR",
"address_2": "#200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202353",
"telephone_number": "901-578-2538",
"fax_number": "901-578-2572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER ENDOSCOPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "HOLDEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF MANAGER OF THE LLC",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TENNESSEE",
"identifier": "3006899",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3287680",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Medical Alternatives
- Medical Anesthesia Group, PA
- Medical Care of Tennessee PLLC
- Medical Care of Tennessee PLLC
- Medical Care of Tennessee, PLLC
- Medical Electro-Therapeutics Inc (Rotech)
- Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
- Medical Psychiatric Associates P.C.
- Medical Services of Meridian, Inc.
- Medical Supply Depot
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.