St Jude Children'S Research Hospital

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

ST JUDE CHILDREN'S RESEARCH HOSPITAL

Practice address

262 Danny Thomas PL # Ms 133
Memphis, TN 38105-3678

Phone

(901) 595-2911

Fax

(901) 595-2207

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Abdelhafeez Abdelhafeez, MD

Title

Fellowship Program Director

Phone

(901) 595-2911

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://rp.stjude.org/oauth2-prd/api/FHIR/R4/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aydin Unal, MD

  • Surgery Physician
  • Memphis, TN
  • NPI 1295572642
  NPD
• Kimberly E Proctor, RN/NP

  • Pediatric Nurse Practitioner
  • Memphis, TN
  • NPI 1609853381
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1184460099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL # MS 133",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678",
            "telephone_number": "901-595-2911",
            "fax_number": "901-595-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL # MS 133",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678",
            "telephone_number": "901-595-2911",
            "fax_number": "901-595-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE CHILDREN'S RESEARCH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "ABDELHAFEEZ",
        "authorized_official_first_name": "ABDELHAFEEZ",
        "authorized_official_title_or_position": "FELLOWSHIP PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "901-595-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok Srinivasan, MD
• Madhuri Srinivasan, RN
• Rameses L Sroufe, MD
• SRW Logistics Inc
• St Francis Optical Dispensary
• St Jude Children'S Research Hospital
• St Jude Children'S Research Hospital, Inc.
• St Jude Children'S Research Hospital, Inc.
• St Jude Children'S Research Hospital, Inc.
• St Jude Children'S Research Hospital, Inc.

• Pediatric Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.