Memphis Pediatric Gastroenterology & Hepatology PC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

MEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC

Practice address

806 Estate PL
Memphis, TN 38120-0600

Phone

(901) 287-4017

Fax

(901) 287-4013

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By 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

Robin L Reese

Title

Office Manager

Phone

(901) 458-4282

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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.

• John R Whitworth, M.D.

  • Pediatric Gastroenterology Physician
  • Memphis, TN
  • NPI 1699707638
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750455945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT",
            "address_2": "SUITE 1220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124426",
            "telephone_number": "901-458-4282",
            "fax_number": "901-458-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-287-4017",
            "fax_number": "901-287-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-458-4282"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3387689",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ARKANSAS",
            "identifier": "84107",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09010528",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP CLAIM UNIT",
            "identifier": "3387689",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "0048573",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK FIRST SOURCE",
            "identifier": "84107",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US ABLE ADMINISTRATOR",
            "identifier": "84107",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "3387689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memphis Orthopaedic Group PC
• Memphis Orthopaedic Medical Supplies,LLC.
• Memphis Pain Management Group, PC
• Memphis Pathology Group PC
• Memphis Pathology Laboratory (American Esoteric Laboratories)
• Memphis Pediatric Heart
• Memphis Physician Partners, PLLC (Adams Patterson)
• Memphis Physicians Radiological Group PC
• Memphis Plastic Surgery Group
• Memphis Primary Care Associates, PLLC

• Pediatric Gastroenterology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.