Organization Active NPI

Aesculapian Aesthetic Anti Aging Institute, LLC

  • Public Health & General Preventive Medicine Physician
  • Memphis, TN
National Provider Identifier
1245322395
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD0000006966 Issued in TN
Legal business name
AESCULAPIAN AESTHETIC ANTI AGING INSTITUTE, LLC
Practice address
6286 Briarcrest Ave
Suite 308
Memphis, TN 38120-4023
Phone
(901) 259-7000
Fax
(901) 259-7033
NPI assigned
Sep 28, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. James M Holbert Jr., M.D., PH.D.
Title
Chief Manager in Charge
Phone
(901) 259-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X MD0000006966 TN
Public Health & General Preventive Medicine Physician 2083P0901X MD0000006966 TN Primary
Medical Toxicology (Preventive Medicine) Physician 2083T0002X

Addresses

Primary practice location

6286 Briarcrest Ave
Suite 308
Memphis, TN 38120-4023

Mailing address

6286 Briarcrest Ave
Suite 308
Memphis, TN 38120-4023
Phone (901) 259-7000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1245322395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE",
            "address_2": "SUITE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-259-7000",
            "fax_number": "901-259-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE",
            "address_2": "SUITE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-259-7000",
            "fax_number": "901-259-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESCULAPIAN AESTHETIC ANTI AGING INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HOLBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF MANAGER IN CHARGE",
        "authorized_official_telephone_number": "901-259-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "TN",
            "license": "MD0000006966",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TN",
            "license": "MD0000006966",
            "primary": true
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 16, 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.