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PEDIATRIC SURGICAL GROUP INC
NPI 1306985304
Specialist in Memphis, TN

Active since February 06, 2007
806 ESTATE PL, MEMPHIS, TN 38120(901) 287-6031(901) 287-4434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Surgical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SURGICAL GROUP INC (NPI 1306985304) is a healthcare organization registered as a specialist in Memphis, Tennessee and active in the NPI registry since February 2007. The organization lists Max R Langham, President, as its authorized official.

NPPES Registry Identity

NPI1306985304
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC SURGICAL GROUP INC
Location Address806 ESTATE PLMemphis, TN 38120-0600
Mailing Address777 Washington Ave, Suite P230Memphis, TN 38105-4550 · (901) 287-6031 · Fax (901) 287-4434
Phone(901) 287-6031
Fax(901) 287-4434
Organization SubpartNo
Authorized OfficialMax R LanghamPresident · (901) 287-6031
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306985304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
806 ESTATE PL, Memphis, TN 38120
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Other Identifiers 1

Medicaid3386956TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOEL IVAN KRONENBERG MD
Pediatrics
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
WILLIE TSIU MD
Pediatrics
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
ROBERT MARTIN EISEMAN MD
Pediatrics
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
TAMA DELANA PENCE LPC-MHSP
Counselor (Professional)
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
DR. MIMI BACH MULLER MD
Pediatrics
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
JOHN R WHITWORTH M.D.
Pediatrics (Pediatric Gastroenterology)
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 681-4017
FATIMA SHAHBAZ M.D
Pediatrics
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 767-3620
MEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC
Pediatrics (Pediatric Gastroenterology)
806 ESTATE PL
MEMPHIS, TN 38120
Shelby County (901) 287-4017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Surgical Group Inc's NPI number?

The NPI number for Pediatric Surgical Group Inc is 1306985304. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Pediatric Surgical Group Inc located?

Pediatric Surgical Group Inc is located at 806 Estate Pl, Memphis, TN 38120. The listed phone number is (901) 287-6031.

What is Pediatric Surgical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pediatric Surgical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.