Active NPI
Gastroenterology Consultants. P.C.
- Specialist
- Memphis, TN
National Provider Identifier
1982897492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GASTROENTEROLOGY CONSULTANTS. P.C.
- Practice address
- 1264 Wesley Dr
Suite 602
Memphis, TN 38116-6400 - Phone
- (901) 396-0311
- NPI assigned
- Aug 20, 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
- Dr. Lee L Wardlaw, M.D.
- Title
- President/Physician
- Phone
- (901) 396-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | TN | Primary |
Addresses
Primary practice location
1264 Wesley Dr
Suite 602
Memphis, TN 38116-6400
Mailing address
1264 Wesley Dr
Suite 602
Memphis, TN 38116-6400
Phone (901) 396-0311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014795 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
7603 Southcrest Pkwy
Ste 305
Southaven, MS 38671
Phone (601) 349-3050
1264 Wesley Dr
Ste 602
Memphis, TN 38116
Phone (901) 396-0311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Southaven, MS
- NPI 1588647150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1982897492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 WESLEY DR",
"address_2": "SUITE 602",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166400",
"telephone_number": "901-396-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 WESLEY DR",
"address_2": "SUITE 602",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166400",
"telephone_number": "901-396-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY CONSULTANTS. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "WARDLAW",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "901-396-0311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014795",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 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.