MEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC - NPI 1750455945

Q: What is Memphis Pediatric Gastroenterology & Hepatology PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

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About Memphis Pediatric Gastroenterology & Hepatology Pc NPPES

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

MEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC (NPI 1750455945) is a healthcare organization registered as a pediatric gastroenterology in Memphis, Tennessee and active in the NPI registry since November 2006. The organization lists Robin L Reese, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750455945

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameMEMPHIS PEDIATRIC GASTROENTEROLOGY & HEPATOLOGY PC

Location Address806 ESTATE PLMemphis, TN 38120-0600

Mailing Address2670 Union Avenue Ext, Suite 1220Memphis, TN 38112-4426 · (901) 458-4282 · Fax (901) 458-8192

Phone(901) 287-4017

Fax(901) 287-4013

Organization SubpartNo

Authorized OfficialRobin L ReeseOffice Manager · (901) 458-4282

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1750455945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

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.

806 ESTATE PL, Memphis, TN 38120

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Other Identifiers 8

Other3387689TN · Aarp Claim Unit

Other3387689TN · Healthsource

Other0048573TN · Blue Cross Group Id

Other84107AR · Ark First Source

Other84107AR · Blue Cross Of Arkansas

Other84107AR · Us Able Administrator

Medicaid09010528MS

Medicaid3387689TN

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