Organization Active NPI

London Corporaton

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1417108796
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
26376 Issued in TN
Legal business name
LONDON CORPORATON
Practice address
23 South Pauline Street
Suite 709
Memphis, TN 38104-3121
Phone
(901) 577-9467
Fax
(901) 362-6618
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
James H Jaster, MD
Title
Physician/Owner
Phone
(901) 577-9467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 26376 TN Primary

Addresses

Primary practice location

23 South Pauline Street
Suite 709
Memphis, TN 38104-3121

Mailing address

23 South Pauline Street
Suite 709
Memphis, TN 38104-3121
Phone (901) 577-9467

Other identifiers 3

IdentifierTypeStateIssuer
1003005885OtherTNNPI
3098864MedicaidTN
1510854MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1417108796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SOUTH PAULINE STREET",
            "address_2": "SUITE 709",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043121",
            "telephone_number": "901-577-9467",
            "fax_number": "901-362-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SOUTH PAULINE STREET",
            "address_2": "SUITE 709",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043121",
            "telephone_number": "901-577-9467",
            "fax_number": "901-362-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON CORPORATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "JASTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "901-577-9467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "26376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003005885",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098864",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510854",
            "state": "TN"
        }
    ],
    "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 Apr 27, 2009; 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.