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Contact Information

GASTROINTESTINAL SPECIALISTS FOUNDATION, INC
80 HUMPHREYS CENTER DR STE 200
MEMPHIS, TN38120-2352
 Phone: 901-578-2538
 Fax: 901-578-2572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for GASTROINTESTINAL SPECIALISTS FOUNDATION, INC

NPI # 1942546452
LBN Legal business name GASTROINTESTINAL SPECIALISTS FOUNDATION, INC
Authorized official GREGORY DUCKETT - (SR VP/CLO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2013
Last updated 12/16/2019 - About 6 years ago
Identifiers
AR Medicaid 201055002
AR Medicaid 201063002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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