Active NPI
Eugene Stanley Pearlman, MD
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
National Provider Identifier
1508040866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 234424
- Practice address
- 1030 Jefferson Avenue
Memphis, TN 38104 - Phone
- (901) 577-7284
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 234424 | MA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 234424 | MA | Primary |
Addresses
Primary practice location
1030 Jefferson Avenue
Memphis, TN 38104
Mailing address
1030 Jefferson Avenue
Memphis, TN 38104
Phone (270) 444-2367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1508040866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "270-444-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-577-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "EUGENE",
"middle_name": "STANLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MA",
"license": "234424",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "234424",
"primary": true
}
],
"identifiers": [],
"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 Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.