WALTER C. IFEADIKE MD – NPI #1689684839
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

WALTER IFEADIKE is a physician located in MEMPHIS, TN. NPPES has assigned the NPI number 1689684839 to WALTER IFEADIKE on August 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 10 years ago on Dec 07, 2016. 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 WALTER IFEADIKE below.

NPI Profile for
WALTER C. IFEADIKE

NPI Number
1689684839
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER C. IFEADIKE
Credentials
MD
Primary location
6215 HUMPHREYS BLVD STE 300
MEMPHIS, TN 38120-2382
Phone: (901) 227-9870 Fax: (901) 227-9879
Mailing address
PO BOX 405827
ATLANTA, GA 30384-5800
Phone: Fax:
Sole Proprietor
No
Updated
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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
TN 54786
207RG0100X
- Internal Medicine / Gastroenterology
GA 38519

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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