Verzosa Ungab Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VERZOSA UNGAB INTERNAL MEDICINE

Practice address

2851 Stage Center Dr
Bartlett, TN 38134-4679

Phone

(901) 388-7711

Fax

(901) 507-2280

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel T Verzosa, MDNPI 1730182882

Title

President

Phone

(901) 388-7711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Samuel Tadiar Verzosa, MD

  • Internal Medicine Physician
  • Bartlett, TN
  • NPI 1730182882
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1427007376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 STAGE CENTER DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344679",
            "telephone_number": "901-388-7711",
            "fax_number": "901-507-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 STAGE CENTER DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344679",
            "telephone_number": "901-388-7711",
            "fax_number": "901-507-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERZOSA UNGAB INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "VERZOSA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-388-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2586717",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vam PLLC
• Lindsey Marie Van Fossen
• Richard John Vansickle, DDS
• Vascular and Vein Institute of the South, PLLC
• Sarah Veazey, PHARM D
• Samuel Tadiar Verzosa, MD
• Christopher Vickers
• Victorious Family Care Center
• Victory Transport LLC (Victory Transport)
• Vital Medical Transport

• Internal Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.