MEMPHIS PEDIATRIC HEART – NPI #1295080190
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

MEMPHIS PEDIATRIC HEART is a provider located in MEMPHIS, TN. NPPES has assigned the NPI number 1295080190 to MEMPHIS PEDIATRIC HEART on July 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 7 years ago on Jan 09, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMPHIS PEDIATRIC HEART below.

NPI Profile for
MEMPHIS PEDIATRIC HEART

NPI Number
1295080190
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMPHIS PEDIATRIC HEART
Primary location
80 HUMPHREYS CENTER
SUITE 230
MEMPHIS, TN 38120
Phone: (901) 259-2440 Fax: (901) 259-2444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES STAMPS
OWNER
Phone: (901) 259-2440
Updated
Identifiers

Identifiers for MEMPHIS PEDIATRIC HEART

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP PTAN NUMBERTN103G374694
MEDICAIDTN1529767
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
TN 38471

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.