Active NPI
Jesse M Wesberry MD PSC
- Ambulatory Surgical Clinic/Center
- Memphis, TN
National Provider Identifier
1689705055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 44-1011
- Legal business name
- JESSE M WESBERRY MD PSC
- Doing business as
- Wesberry Surgery Center
- Practice address
- 2900 S Perkins Rd
Memphis, TN 38118-3237 - Phone
- (901) 362-3100
- Fax
- (901) 362-3372
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Lee Wesberry
- Title
- Vice President/Office Manager
- Phone
- (901) 362-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 44-1011 | TN | Primary |
Addresses
Primary practice location
2900 S Perkins Rd
Memphis, TN 38118-3237
Mailing address
2900 S Perkins Rd
Memphis, TN 38118-3237
Phone (901) 362-3100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005869351 | Other | TN | AETNA PROVIDER NUMBER |
| 44-1011 | Other | TN | STATE ASTC LICENSE |
| 490000574 | Other | TN | RAILROAD MEDICARE |
| 81353 | Other | TN | BCBS PROVIDER NUMBER |
Other names 1
- Wesberry Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1689705055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S PERKINS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381183237",
"telephone_number": "901-362-3100",
"fax_number": "901-362-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S PERKINS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381183237",
"telephone_number": "901-362-3100",
"fax_number": "901-362-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSE M WESBERRY MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "WESBERRY",
"authorized_official_first_name": "MARY LEE",
"authorized_official_title_or_position": "VICE PRESIDENT/OFFICE MANAGER",
"authorized_official_telephone_number": "901-362-3100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "44-1011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "0005869351",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ASTC LICENSE",
"identifier": "44-1011",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "490000574",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "81353",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wesberry Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.