Active NPI
Tony R Pagliarulo MD
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1235180456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000024299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00111789 | Medicaid | MS | |
| 3074170 | Medicaid | TN | |
| 124822001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI 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.