Allan M Menachem, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

39256 Issued in TN

Practice address

9 Physicians Dr
Jackson, TN 38305-2071

Phone

(731) 661-0086

NPI assigned

Oct 3, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700873056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11567",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080126",
            "telephone_number": "731-661-0086",
            "fax_number": "731-661-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052071",
            "telephone_number": "731-661-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENACHEM",
        "first_name": "ALLAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "39256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327188",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deseray S Melton, NP
• Katherine Brooke Melton, PHARMD
• Memphis Hand Center (Southern Hand Centers)
• Memphis Hand Center, Inc (Southern Hand Centers)
• Memphis Vamc
• Barbara Excell Menzies, M.D.
• Meredith Figueroa
• Emily Cora Meredith
• Jaclyn Ann Meredith
• Caroline R Merwin

• Gastroenterology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.