Organization Active NPI

Allergy and Asthma Specialists of Memphis, PC

  • Specialist
  • Germantown, TN
National Provider Identifier
1467630723
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000024839 Issued in TN
Legal business name
ALLERGY AND ASTHMA SPECIALISTS OF MEMPHIS, PC
Practice address
2006 Exeter Rd
Germantown, TN 38138-3945
Phone
(901) 202-4100
Fax
(901) 202-4102
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Joseph Saddik Fahhoum, M.D.NPI 1265433213
Title
Owner
Phone
(901) 202-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000024839 TN Primary

Addresses

Primary practice location

2006 Exeter Rd
Germantown, TN 38138-3945

Mailing address

2006 Exeter Rd
Germantown, TN 38138-3945
Phone (901) 202-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000801 TN Part B Supplier - Clinic/Group Practice 9830275189 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

2006 Exeter Rd
Germantown, TN 38138
Phone (901) 202-4100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1467630723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383945",
            "telephone_number": "901-202-4100",
            "fax_number": "901-202-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383945",
            "telephone_number": "901-202-4100",
            "fax_number": "901-202-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA SPECIALISTS OF MEMPHIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "FAHHOUM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SADDIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-202-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000024839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.