Lee Lyle Wardlaw, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD008559 Issued in TN

Practice address

1264 Wesley Drive
#602
Memphis, TN 38116-6459

Phone

(901) 396-0311

Fax

(901) 516-3869

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134200025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DRIVE",
            "address_2": "#602",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166459",
            "telephone_number": "901-396-0311",
            "fax_number": "901-516-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DRIVE",
            "address_2": "#602",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166459",
            "telephone_number": "901-396-0311",
            "fax_number": "901-516-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "LEE",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD008559",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "05332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE",
            "identifier": "1000000014",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014795",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Catherine Ward, PA-C
• Sharon Denise Ward, NP
• Tania Tyronette Ward
• Tyesh Ward
• Laura Wardlaw
• Leslie Ware, CRNA
• Ryan Ware
• Olivia Warfield
• Tera Brownlee Warfield, LPC/MHSP
• Suzanne Stevens Warford, M.D.

• Gastroenterology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.