Pediatric and Adolescent Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC AND ADOLESCENT MEDICINE

Practice address

1102 Brookfield Road
2ND Floor
Memphis, TN 38119

Phone

(901) 761-1880

Fax

(901) 683-2048

NPI assigned

May 1, 2007

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara P Folz, MDNPI 1790735124

Title

President

Phone

(901) 761-1880

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Tamara P Folz, MD

  • Pediatric Adolescent Medicine Physician
  • Memphis, TN
  • NPI 1790735124
  NPD (past) Authorized official
• Christine H Blair, PNP-PC, RN

  • Pediatric Nurse Practitioner
  • Memphis, TN
  • NPI 1235482928
  NPD (past)
• Joyce Liu Hoffman, M.D.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1184867012
  NPD (past)
• Rhonda Charlene Johnson, M.D

  • Pediatric Adolescent Medicine Physician
  • Memphis, TN
  • NPI 1104878164
  NPD (past)
• Susan Kay Welch, MD

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1316977762
  NPD (past)
• Jamie L Carpenter, FNP-C

  • Nurse Practitioner
  • Olive Branch, MS
  • NPI 1114318987
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1235350786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BROOKFIELD ROAD",
            "address_2": "2ND FLOOR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-761-1880",
            "fax_number": "901-683-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 BROOKFIELD ROAD",
            "address_2": "2ND FLOOR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-761-1880",
            "fax_number": "901-683-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "FOLZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-761-1880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Goodloe Peatross
• Russell C Peck, D.D.S.
• Angela Miller Peden, NP
• Robert William Pedersen
• Pediatherapy Solutions,LLC
• Pediatric Anesthesiologists P a
• Pediatric Anesthesiologists PA
• Pediatric Associates,PC
• Pediatric Cardiology Consultants, P.C.
• Pediatric Consultants, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.