Endoscopy Center of the Mid-South, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ENDOSCOPY CENTER OF THE MID-SOUTH, LLC

Practice address

3960 Knight Arnold Rd
Suite 117
Memphis, TN 38118-3035

Phone

(901) 369-8509

Fax

(901) 369-8466

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tariq Khan, MDNPI 1861401127

Title

Physician

Phone

(901) 369-8509

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tri-State Gastroenterology, P.C.

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1972540953

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tariq Ali Khan, MD

  • Gastroenterology Physician
  • Granbury, TX
  • NPI 1861401127
  NPD Authorized official
• Wesley Earl Jones, M.D.

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1528009669
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1831249341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 117",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-8509",
            "fax_number": "901-369-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 117",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-8509",
            "fax_number": "901-369-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF THE MID-SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-369-8509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endoc PC
• Endocrine Clinics & Research
• Endocrinology Associate of Memphis
• Endocrinology Associates of Memphis, PLLC
• Endocrinology Clinic, PC
• John W Engbretson, MD
• Laura Lynne Engbretson, M.D.
• Ian Engerbretson, MD
• Yigrem Engida
• Bryan Scott England, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.