Baptist-Emsc LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000040 Issued in TN

Legal business name

BAPTIST-EMSC LP

Doing business as

East Memphis Surgery Center

Practice address

80 Humphreys Ctr
Ste 101
Memphis, TN 38120-2352

Phone

(901) 747-3233

Fax

(901) 747-3230

NPI assigned

Jun 2, 2005

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other names 1

• East Memphis Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

East Memphis Surgery CenterCCN 44C0001047

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Lindi H Vanderwalde, MD

  • Surgical Oncology Physician
  • West Hollywood, CA
  • NPI 1578788402
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1720080823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CTR",
            "address_2": "STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-747-3233",
            "fax_number": "901-747-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CTR",
            "address_2": "STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-747-3233",
            "fax_number": "901-747-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST-EMSC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Memphis Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Memorial Medical Group Inc
• Baptist Memorial Medical Group Inc (BMG East Memphis Pharmacy)
• Baptist Memorial Regional Rehabilitation Services Inc
• Baptist Memorial Regional Rehabilitative Services Inc
• Baptist Minor Medical Centers Inc (Baptist Minor Medical Center)
• Yael Bar-Peled, CGC
• Leeca Nicole Baran
• Barbara a. Duncan-Cody MD PLLC (Duncan-Cody Medical Group)
• Kimbelry Barbee
• Alicia Barber, NP

• Ambulatory Surgical Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.