Memphis Pediatric Heart

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

38471 Issued in TN

Legal business name

MEMPHIS PEDIATRIC HEART

Practice address

80 Humphreys Center
Suite 230
Memphis, TN 38120

Phone

(901) 259-2440

Fax

(901) 259-2444

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James K Stamps, M.D.

Title

Owner

Phone

(901) 259-2440

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1295080190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER",
            "address_2": "SUITE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-259-2440",
            "fax_number": "901-259-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER",
            "address_2": "SUITE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-259-2440",
            "fax_number": "901-259-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PEDIATRIC HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "STAMPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-259-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TN",
            "license": "38471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529767",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN NUMBER",
            "identifier": "103G374694",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memphis Orthopaedic Medical Supplies,LLC.
• Memphis Pain Management Group, PC
• Memphis Pathology Group PC
• Memphis Pathology Laboratory
• Memphis Pediatric Gastroenterology & Hepatology PC
• Memphis Physician Partners, PLLC
• Memphis Physicians Radiological Group PC
• Memphis Plastic Surgery Group
• Memphis Primary Care Associates, PLLC
• Memphis Primary Care Specialists

• All providers in Memphis, TN
• Pediatric Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.