Pediatric Surgical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDIATRIC SURGICAL GROUP INC

Practice address

806 Estate PL
Memphis, TN 38120-0600

Phone

(901) 287-6031

Fax

(901) 287-4434

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Max R Langham Jr., MD

Title

President

Phone

(901) 287-6031

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Wallace Eubanks III, M.D.

  • Pediatric Surgery Physician
  • Memphis, TN
  • NPI 1790739027
  NPD (past)
• Elizabeth A Paton, RN,PNP,

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1962402388
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306985304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WASHINGTON AVE",
            "address_2": "SUITE P230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054550",
            "telephone_number": "901-287-6031",
            "fax_number": "901-287-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-287-6031",
            "fax_number": "901-287-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGHAM",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-287-6031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386956",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Emergency Specialists, PC
• Pediatric Partners of Memphis, LLC
• Pediatric Psychiatric Professional LLC
• Pediatric Radiology
• Pediatric Sedation Specialists, PC
• Pediatric Therapy Services, LLC
• Pediatric Vision Associates, PLLC
• Erin H Peeden
• Molly Peek
• David W Peeler, MD

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.