Individual provider Active NPI

Fereidoon Parsioon, M.D.

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1518950831
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD18454 Issued in TN
Practice address
5673 S Rex Rd
Memphis, TN 38119-3821
Phone
(901) 276-6400
Fax
(901) 276-6440
NPI assigned
Aug 23, 2005
Reactivated
Apr 3, 2006
Last updated
Jul 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD18454 TN Primary

Addresses

Primary practice location

5673 S Rex Rd
Memphis, TN 38119-3821

Mailing address

5673 S Rex Rd
Memphis, TN 38119-3821
Phone (901) 276-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001706 TN Practitioner - Neurosurgery 5395725212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Suite 108
Memphis, TN 38132-2139
Phone (901) 344-0101

5673 S Rex Rd
Memphis, TN 38119-3821
Phone (901) 276-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion18
Laminectomy or laminotomy (partial removal of spine bones)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18454TNMDNeurological Surgery Physician
18454TNMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Neurosurgery, PLLC Neurological Surgery CurrentSince Aug 1, 2004 Accepting new patients

Locations

5673 S Rex Rd
Memphis, TN 38119
Phone (901) 276-6400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1518950831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 S REX RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193821",
            "telephone_number": "901-276-6400",
            "fax_number": "901-276-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 S REX RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193821",
            "telephone_number": "901-276-6400",
            "fax_number": "901-276-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSIOON",
        "first_name": "FEREIDOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-25",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD18454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.