Organization Active NPI

Tony R Pagliarulo MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1235180456
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000024299 Issued in TN
Legal business name
TONY R PAGLIARULO MD
Practice address
333 S Bellevue Blvd
Memphis, TN 38104-3534
Phone
(901) 729-2708
Fax
(901) 729-2720
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Tony R Pagliarulo, M.D.
Title
President
Phone
(901) 729-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD0000024299 TN Primary

Addresses

Primary practice location

333 S Bellevue Blvd
Memphis, TN 38104-3534

Mailing address

PO Box 1000
Dept 252
Memphis, TN 38148-0001
Phone (901) 729-2708

Other identifiers 3

IdentifierTypeStateIssuer
00111789MedicaidMS
3074170MedicaidTN
124822001MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1235180456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 252",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-729-2708",
            "fax_number": "901-729-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043534",
            "telephone_number": "901-729-2708",
            "fax_number": "901-729-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY R PAGLIARULO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PAGLIARULO",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-729-2708",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000024299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111789",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074170",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124822001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.