{ "result_count": 79, "results": [ { "addresses": [ { "address_1": "PO BOX 1000", "address_2": "DEPT 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381480001", "state": "TN", "telephone_number": "901-516-9183" }, { "address_1": "1265 UNION AVE", "address_2": "SUITE 184", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381043415", "state": "TN", "telephone_number": "901-516-9183" } ], "basic": { "credential": "MD", "enumeration_date": "2009-10-16", "first_name": "UCHENNA", "last_name": "AGBIM", "last_updated": "2016-08-22", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1255707380000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1471891899000", "number": "1649505124", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "54636", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "54636", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-545-7306", "postal_code": "381033409", "state": "TN", "telephone_number": "901-545-6969" }, { "address_1": "1911 CHELSEA PARK AVE.", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "38139", "state": "TN" } ], "basic": { "credential": "M.D.", "enumeration_date": "2006-07-10", "first_name": "NAZNEEN", "last_name": "AHMED", "last_updated": "2017-09-07", "middle_name": "S", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152581914000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "036078921", "issuer": null, "state": "IL" } ], "last_updated_epoch": "1504806681000", "number": "1154355592", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "036-078921", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "56148", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-377-5105", "postal_code": "381047540", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "2020 EXETER RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-333-0590", "postal_code": "381383945", "state": "TN", "telephone_number": "901-624-5151" } ], "basic": { "certification_date": "2022-07-11", "credential": "MD", "enumeration_date": "2009-07-30", "first_name": "ALI", "last_name": "AKBAR", "last_updated": "2022-07-11", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1248975601000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1657561741000", "number": "1740411370", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "38147", "primary": false, "state": "IA", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "24342", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "34.015828", "primary": false, "state": "OH", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "54328", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER DR STE 210", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "381202353", "state": "TN", "telephone_number": "901-761-3900" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2023-08-10", "credential": "M.D.", "enumeration_date": "2008-05-15", "first_name": "ABDULLAH", "last_name": "AL-RASHDAN", "last_updated": "2023-08-10", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1210875338000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "07215152", "issuer": "blue cross", "state": null } ], "last_updated_epoch": "1691672656000", "number": "1588831721", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "01064840A", "primary": false, "state": "IN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "036124817", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "67164", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 741274", "address_purpose": "MAILING", "address_type": "DOM", "city": "ATLANTA", "country_code": "US", "country_name": "United States", "postal_code": "303741274", "state": "GA", "telephone_number": "901-765-2176" }, { "address_1": "5959 PARK AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381195200", "state": "TN", "telephone_number": "901-765-2176" } ], "basic": { "authorized_official_first_name": "SCOTT", "authorized_official_last_name": "SMITH", "authorized_official_telephone_number": "9017652176", "authorized_official_title_or_position": "CEO", "certification_date": "2023-10-12", "enumeration_date": "2023-10-12", "last_updated": "2023-10-12", "organization_name": "AMISUB (SFH), INC.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1697141170000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1697141170000", "number": "1972384188", "other_names": [ { "code": "3", "organization_name": "SAINT FRANCIS HOSPITAL", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2015-07-15", "first_name": "SHOAIB", "last_name": "AZAM", "last_updated": "2026-02-10", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1437013249000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "200006251", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q084812", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770735209000", "number": "1043694490", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "67298", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033409", "state": "TN", "telephone_number": "901-545-6969" }, { "address_1": "1068 CRESTHAVEN RD STE 300", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381190809", "state": "TN", "telephone_number": "901-866-8864" } ], "basic": { "certification_date": "2025-03-13", "credential": "MD", "enumeration_date": "2006-02-03", "first_name": "LEONARD", "last_name": "BAIDOO", "last_updated": "2025-03-13", "middle_name": "K", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1139000492000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "012386050001", "issuer": null, "state": "IL" } ], "last_updated_epoch": "1741871790000", "number": "1669444642", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "336100746", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "62090", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2007-06-08", "first_name": "JOSEPH", "last_name": "BALTZ", "last_updated": "2026-02-10", "middle_name": "GEORGE", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1181313897000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q008100", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770735481000", "number": "1497958235", "other_names": [], "practiceLocations": [ { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "32518", "primary": false, "state": "SC", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23136", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "49718", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" } ], "basic": { "certification_date": "2025-08-29", "credential": "M.D.", "enumeration_date": "2018-06-26", "first_name": "PRANEETH", "last_name": "BANDARU", "last_updated": "2025-08-29", "middle_name": "KUMAR REDDY", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1530040444000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1756489792000", "number": "1366937989", "other_names": [], "practiceLocations": [ { "address_1": "121 DEKALB AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BROOKLYN", "country_code": "US", "country_name": "United States", "postal_code": "112015425", "state": "NY", "telephone_number": "718-250-6604" }, { "address_1": "1225 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-974-6245", "postal_code": "392022064", "state": "MS", "telephone_number": "601-968-5003" }, { "address_1": "401 BAPTIST DR STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MADISON", "country_code": "US", "country_name": "United States", "fax_number": "601-974-8002", "postal_code": "391102012", "state": "MS", "telephone_number": "601-974-8000" }, { "address_1": "1200 N STATE ST STE 280", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35246", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "1100 BELK BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "fax_number": "662-232-8555", "postal_code": "386555242", "state": "MS", "telephone_number": "662-513-1609" } ], "basic": { "certification_date": "2026-02-02", "credential": "M.D.", "enumeration_date": "2014-06-10", "first_name": "KEVIN", "last_name": "BATTE", "last_updated": "2026-02-02", "middle_name": "JOHN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1402438860000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1770040894000", "number": "1982017521", "other_names": [], "practiceLocations": [ { "address_1": "3570 GRANDVIEW PKWY STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BIRMINGHAM", "country_code": "US", "country_name": "United States", "postal_code": "352432066", "state": "AL", "telephone_number": "205-663-1023" }, { "address_1": "225 MEDICAL CENTER DR STE 308", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PADUCAH", "country_code": "US", "country_name": "United States", "postal_code": "420037915", "state": "KY", "telephone_number": "270-443-0777" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "27532", "primary": true, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "71447", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "51221", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "E-19860", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "C4349", "primary": false, "state": "KY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2006-05-12", "first_name": "ALEX", "last_name": "BAUM", "last_updated": "2026-02-10", "middle_name": "E.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1147406789000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1519232", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770736286000", "number": "1962452615", "other_names": [], "practiceLocations": [ { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "ME88755", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "40889", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35496", "primary": false, "state": "AZ", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "18247", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "M3899", "primary": false, "state": "TX", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "57426", "primary": false, "state": "GA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-25", "first_name": "JOEL", "last_name": "BESSOFF", "last_updated": "2007-07-08", "middle_name": "I.", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1145988780000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3898592", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1669438032", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "39010", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1 INGALLS DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HARVEY", "country_code": "US", "country_name": "United States", "postal_code": "604263558", "state": "IL", "telephone_number": "888-824-0200" }, { "address_1": "PO BOX 405827", "address_purpose": "MAILING", "address_type": "DOM", "city": "ATLANTA", "country_code": "US", "country_name": "United States", "postal_code": "303845800", "state": "GA" } ], "basic": { "certification_date": "2026-02-16", "credential": "MD", "enumeration_date": "2006-07-12", "first_name": "PAUL", "last_name": "BIERMAN", "last_updated": "2026-02-16", "middle_name": "S", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152750353000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00119960", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "134881001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "3040315", "issuer": "BLUE CROSS OF TENNESSEE", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3800096", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1771272078000", "number": "1144245234", "other_names": [], "practiceLocations": [ { "address_1": "80 HUMPHREYS CENTER", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "38120", "state": "TN", "telephone_number": "901-578-2538" }, { "address_1": "259 E ERIE ST STE 1600", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHICAGO", "country_code": "US", "country_name": "United States", "fax_number": "312-695-7095", "postal_code": "606113111", "state": "IL", "telephone_number": "312-695-5620" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "15735", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "27869", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "036159899", "primary": true, "state": "IL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 1000", "address_2": "DEPT # 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381480001", "state": "TN", "telephone_number": "901-881-2016" }, { "address_1": "2996 KATE BOND RD STE 105", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381334062", "state": "TN", "telephone_number": "901-765-2243" } ], "basic": { "certification_date": "2026-05-22", "credential": "M.D", "enumeration_date": "2007-05-17", "first_name": "MUHAMMAD", "last_name": "BILAL", "last_updated": "2026-05-22", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1179440488000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "06857362", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "190019001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "6002235", "issuer": "BCBS TN", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q002448", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1779464710000", "number": "1568670321", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE", "address_2": "SUITE 370", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-387-5158", "postal_code": "381043519", "state": "TN", "telephone_number": "901-758-7888" }, { "address_1": "3901 S FREMONT AVE FL 4", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SPRINGFIELD", "country_code": "US", "country_name": "United States", "postal_code": "658046538", "state": "MO", "telephone_number": "000-000-0000" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "E-7261", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "50517", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "22043", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "350 N HUMPHREYS BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381202177", "state": "TN", "telephone_number": "901-226-4003" }, { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" } ], "basic": { "certification_date": "2025-09-04", "credential": "MD", "enumeration_date": "2019-04-03", "first_name": "HIMMAT", "last_name": "BRAR", "last_updated": "2025-09-04", "middle_name": "SINGH", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1554302956000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1757004793000", "number": "1508328170", "other_names": [], "practiceLocations": [ { "address_1": "1225 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-974-6245", "postal_code": "392022064", "state": "MS", "telephone_number": "601-968-5003" }, { "address_1": "1200 N STATE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022000", "state": "MS", "telephone_number": "601-714-6470" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "33005", "primary": true, "state": "MS", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "8000 WOLF RIVER BLVD", "address_2": "SUITE 200", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-747-4039", "postal_code": "381381727", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "8000 WOLF RIVER BLVD", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-747-4039", "postal_code": "381381727", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-08-09", "first_name": "EDWARD", "last_name": "CATTAU", "last_updated": "2012-12-05", "middle_name": "L", "name_prefix": "--", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1123617694000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3052612", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1354727904000", "number": "1356342687", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD0000020598", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "7900 AIRWAYS BLVD STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "basic": { "certification_date": "2026-02-10", "credential": "MD", "enumeration_date": "2007-05-18", "first_name": "SUFIYAN", "last_name": "CHAUDHRY", "last_updated": "2026-02-10", "middle_name": "H", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1179515145000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1521998", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770738718000", "number": "1457569998", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "24904", "primary": true, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "43960", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 3034", "address_purpose": "MAILING", "address_type": "DOM", "city": "CORDOVA", "country_code": "US", "country_name": "United States", "fax_number": "901-763-0270", "postal_code": "380883034", "state": "TN", "telephone_number": "901-763-0579" }, { "address_1": "6005 PARK AVE", "address_2": "SUITE 720B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-763-0270", "postal_code": "381195202", "state": "TN", "telephone_number": "901-763-0730" } ], "basic": { "credential": "MD", "enumeration_date": "2006-05-12", "first_name": "LAKSHMI", "last_name": "DASAREE", "last_updated": "2013-01-18", "middle_name": "K", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1147490890000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1358539067000", "number": "1225089477", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD0000030076", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-755-4321", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-11-10", "first_name": "MICHAEL", "last_name": "DRAGUTSKY", "last_updated": "2026-02-10", "middle_name": "S", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1131660291000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3001341", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770741148000", "number": "1851372213", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD14483", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "18188", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2011-05-04", "first_name": "SCOTT", "last_name": "DUNCAN", "last_updated": "2026-02-10", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1304532003000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q044019", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770741252000", "number": "1841582236", "other_names": [], "practiceLocations": [ { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "51521", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "25579", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-755-4321", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2007-03-30", "first_name": "FAREES", "last_name": "FAROOQ", "last_updated": "2026-02-10", "middle_name": "TAQIUDDIN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1175279062000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3000327", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770741575000", "number": "1376663583", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "E17827", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "21378", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "42303", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "171 ASHLEY AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHARLESTON", "country_code": "US", "country_name": "United States", "fax_number": "803-933-3049", "postal_code": "29425", "state": "SC", "telephone_number": "803-434-8866" }, { "address_1": "PO BOX 751461", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHARLOTTE", "country_code": "US", "country_name": "United States", "postal_code": "282751461", "state": "NC", "telephone_number": "864-522-8603" } ], "basic": { "certification_date": "2023-06-14", "credential": "MD", "enumeration_date": "2006-11-13", "first_name": "THOMAS", "last_name": "FAUST", "last_updated": "2024-08-02", "middle_name": "WILSON", "name_suffix": "Sr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1163472292000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1722623496000", "number": "1861564304", "other_names": [], "practiceLocations": [ { "address_1": "1265 UNION AVENUE, 4 SHORB TOWER", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-478-8957", "postal_code": "38104", "state": "TN", "telephone_number": "901-478-9183" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "89555", "primary": true, "state": "SC", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "38120", "state": "TN", "telephone_number": "901-578-2538" }, { "address_1": "965 RIDGE LAKE BLVD STE 103", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209446", "state": "TN" } ], "basic": { "credential": "MD", "enumeration_date": "2006-07-12", "first_name": "KENNETH", "last_name": "FIELDS", "last_updated": "2019-08-27", "middle_name": "I", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152750725000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "05453599", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "148888001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "3124943", "issuer": "BLUE CROSS OF TENNESSEE", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "3839852", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1566908274000", "number": "1285659383", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "31333", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2010-04-27", "first_name": "JOSHUA", "last_name": "FRENCH", "last_updated": "2026-02-10", "middle_name": "BLAKE", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1272393142000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q028949", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770742054000", "number": "1083931364", "other_names": [], "practiceLocations": [ { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "55871", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "25179", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "38120", "state": "TN", "telephone_number": "901-578-2538" }, { "address_1": "PO BOX 405827", "address_purpose": "MAILING", "address_type": "DOM", "city": "ATLANTA", "country_code": "US", "country_name": "United States", "postal_code": "303845827", "state": "GA" } ], "basic": { "credential": "MD", "enumeration_date": "2008-01-25", "first_name": "EDWARD", "last_name": "FRIEDMAN", "last_updated": "2016-10-25", "middle_name": "S", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1201289130000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1477420129000", "number": "1659558260", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "45030", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "ONE GI CREDENTIALING DEPARTMENT", "address_2": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "authorized_official_first_name": "KRISTINA", "authorized_official_last_name": "MATERNA", "authorized_official_telephone_number": "9013778219", "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING", "certification_date": "2026-02-03", "enumeration_date": "2005-12-13", "last_updated": "2026-02-03", "organization_name": "GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1134494806000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1770130431000", "number": "1417932492", "other_names": [ { "code": "3", "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTH MISSISSIPPI", "type": "Doing Business As" }, { "code": "3", "organization_name": "DIGESTIVE HEALTH SPECIALISTS", "type": "Doing Business As" }, { "code": "3", "organization_name": "MIDSTATE GASTROENTEROLOGY", "type": "Doing Business As" }, { "code": "3", "organization_name": "ASSOCIATES IN GASTROENTEROLOGY", "type": "Doing Business As" }, { "code": "3", "organization_name": "SKYLINE GASTROENTEROLOGY OF WEST TENNESSEE", "type": "Doing Business As" }, { "code": "3", "organization_name": "GASTRO ONE", "type": "Doing Business As" } ], "practiceLocations": [ { "address_1": "27 MEDICAL CENTER DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "postal_code": "383013949", "state": "TN", "telephone_number": "731-424-1001" }, { "address_1": "7900 AIRWAYS BLVD BLDG B STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714116", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "5653 FRIST BLVD STE 530", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HERMITAGE", "country_code": "US", "country_name": "United States", "postal_code": "370762067", "state": "TN", "telephone_number": "615-885-1093" }, { "address_1": "589 GARFIELD ST STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "TUPELO", "country_code": "US", "country_name": "United States", "postal_code": "388016301", "state": "MS", "telephone_number": "662-680-5565" }, { "address_1": "660 S MOUNT JULIET RD STE 220", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MT JULIET", "country_code": "US", "country_name": "United States", "postal_code": "371223920", "state": "TN", "telephone_number": "615-885-1093" }, { "address_1": "920 S HARTMANN DR STE 310", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LEBANON", "country_code": "US", "country_name": "United States", "postal_code": "370904137", "state": "TN", "telephone_number": "615-885-1093" }, { "address_1": "1208 OFFICE PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "postal_code": "386553597", "state": "MS", "telephone_number": "662-234-9888" }, { "address_1": "200 STATE HIGHWAY 30 W", "address_purpose": "LOCATION", "address_type": "DOM", "city": "NEW ALBANY", "country_code": "US", "country_name": "United States", "postal_code": "386523112", "state": "MS", "telephone_number": "662-234-9888" }, { "address_1": "825 W MONROE ST STE 2", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GRENADA", "country_code": "US", "country_name": "United States", "postal_code": "389015042", "state": "MS", "telephone_number": "662-234-9888" }, { "address_1": "1210 OFFICE PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OXFORD", "country_code": "US", "country_name": "United States", "postal_code": "386553606", "state": "MS", "telephone_number": "662-234-9888" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-755-4321", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381043519", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-337-7211" }, { "address_1": "51 GERMANTOWN CT STE 309", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CORDOVA", "country_code": "US", "country_name": "United States", "postal_code": "380184290", "state": "TN", "telephone_number": "901-333-0510" }, { "address_1": "1115B DOW ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MURFREESBORO", "country_code": "US", "country_name": "United States", "postal_code": "371302487", "state": "TN", "telephone_number": "615-896-6996" } ], "taxonomies": [ { "code": "207ZP0102X", "desc": "Pathology, Anatomic Pathology & Clinical Pathology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "367500000X", "desc": "Nurse Anesthetist, Certified Registered", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363L00000X", "desc": "Nurse Practitioner", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER DR STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "381202352", "state": "TN", "telephone_number": "901-578-2538" }, { "address_1": "PO BOX 405827", "address_purpose": "MAILING", "address_type": "DOM", "city": "ATLANTA", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "303845800", "state": "GA", "telephone_number": "901-578-2538" } ], "basic": { "authorized_official_first_name": "GREGORY", "authorized_official_last_name": "DUCKETT", "authorized_official_middle_name": "M", "authorized_official_telephone_number": "9012275233", "authorized_official_title_or_position": "Sr VP/CLO", "certification_date": "2019-12-16", "enumeration_date": "2013-01-02", "last_updated": "2019-12-16", "organization_name": "GASTROINTESTINAL SPECIALISTS FOUNDATION, INC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1357169693000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "201055002", "issuer": null, "state": "AR" }, { "code": "05", "desc": "MEDICAID", "identifier": "201063002", "issuer": null, "state": "AR" } ], "last_updated_epoch": "1576525093000", "number": "1942546452", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": false, "state": "AR", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207ZP0102X", "desc": "Pathology, Anatomic Pathology & Clinical Pathology", "license": null, "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": null, "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "367500000X", "desc": "Nurse Anesthetist, Certified Registered", "license": null, "primary": false, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": "TN", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "202 W PARK AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GREENWOOD", "country_code": "US", "country_name": "United States", "fax_number": "662-453-6790", "postal_code": "389303009", "state": "MS", "telephone_number": "662-455-8058" }, { "address_1": "491 MCELROY RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381201524", "state": "TN", "telephone_number": "901-826-6312" } ], "basic": { "credential": "D.O.", "enumeration_date": "2008-05-16", "first_name": "RICHARD", "last_name": "GOLDBERG", "last_updated": "2017-04-06", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1210950369000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1491513899000", "number": "1689831844", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23726", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1 FORD PL STE 3A", "address_purpose": "MAILING", "address_type": "DOM", "city": "DETROIT", "country_code": "US", "country_name": "United States", "postal_code": "482023450", "state": "MI", "telephone_number": "313-874-4806" }, { "address_1": "2799 W GRAND BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "DETROIT", "country_code": "US", "country_name": "United States", "postal_code": "482022608", "state": "MI", "telephone_number": "139-167-1783" } ], "basic": { "certification_date": "2023-09-29", "credential": "M.D", "enumeration_date": "2007-08-06", "first_name": "HUMBERTO", "last_name": "GONZALEZ GONZALEZ", "last_updated": "2023-09-29", "middle_name": "CESAR", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1186405494000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "04122575", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "206119001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "6025474", "issuer": "BCBS", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q008639", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1696000666000", "number": "1043401086", "other_names": [], "practiceLocations": [ { "address_1": "1265 UNION AVE", "address_2": "SUITE 184", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381043415", "state": "TN", "telephone_number": "901-516-9183" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "56890", "primary": false, "state": "MN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "51261", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "51261", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "4301089991", "primary": true, "state": "MI", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "107128", "primary": false, "state": "MN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "4301089991", "primary": false, "state": "MI", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2006-11-12", "first_name": "CHRISTOPHER", "last_name": "GRIFFITH", "last_updated": "2026-02-10", "middle_name": "MILES", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1163338891000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q027512", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770742426000", "number": "1588735617", "other_names": [], "practiceLocations": [ { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "41980", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "19685", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38103", "state": "TN", "telephone_number": "901-545-6969" }, { "address_1": "1407 UNION AVE", "address_2": "SUITE 640", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381043627", "state": "TN", "telephone_number": "901-866-8360" } ], "basic": { "credential": "MD", "enumeration_date": "2006-06-24", "first_name": "COLIN", "last_name": "HOWDEN", "last_updated": "2018-05-15", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1151191318000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1526414032000", "number": "1891721445", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "036098501", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "51752", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 405827", "address_purpose": "MAILING", "address_type": "DOM", "city": "ATLANTA", "country_code": "US", "country_name": "United States", "postal_code": "303845800", "state": "GA" }, { "address_1": "6215 HUMPHREYS BLVD STE 300", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-9879", "postal_code": "381202382", "state": "TN", "telephone_number": "901-227-9870" } ], "basic": { "credential": "MD", "enumeration_date": "2006-08-09", "first_name": "WALTER", "last_name": "IFEADIKE", "last_updated": "2016-12-07", "middle_name": "C", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1155131299000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1481120764000", "number": "1689684839", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "38519", "primary": false, "state": "GA", "taxonomy_group": "" }, { "code": "2080P0206X", "desc": "Pediatrics, Pediatric Gastroenterology", "license": "54786", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "BARBARA", "last_name": "JACKSON", "last_updated": "2007-07-08", "middle_name": "KAY", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146079489000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1548227598", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "14950", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-08-12", "first_name": "TERRENCE", "last_name": "JACKSON", "last_updated": "2026-02-10", "middle_name": "L", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1123871541000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q026449", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770743996000", "number": "1760484372", "other_names": [], "practiceLocations": [ { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23140", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "33995", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033409", "state": "TN", "telephone_number": "901-545-6969" }, { "address_1": "258 FLEETS ISLAND DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381039019", "state": "TN" } ], "basic": { "certification_date": "2024-08-22", "enumeration_date": "2014-06-28", "first_name": "KIRAN", "last_name": "JOGLEKAR", "last_updated": "2024-08-22", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1403965885000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1724361775000", "number": "1093120024", "other_names": [], "practiceLocations": [ { "address_1": "1265 UNION AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-478-8957", "postal_code": "381043415", "state": "TN", "telephone_number": "901-478-9183" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "6783", "primary": false, "state": "GA", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "55878", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1264 WESLEY DR", "address_2": "SUITE 303", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-398-9581", "postal_code": "381166400", "state": "TN", "telephone_number": "901-398-9574" }, { "address_1": "1264 WESLEY DR", "address_2": "SUITE 303", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-398-9581", "postal_code": "381166400", "state": "TN", "telephone_number": "901-398-9574" } ], "basic": { "certification_date": "2023-11-20", "credential": "M.D.", "enumeration_date": "2006-06-09", "first_name": "WESLEY", "last_name": "JONES", "last_updated": "2023-11-20", "middle_name": "EARL", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1149887486000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3184592", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1700490862000", "number": "1528009669", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD11607", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 689022", "address_purpose": "MAILING", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "251-424-1131", "postal_code": "370689022", "state": "TN", "telephone_number": "615-465-7390" }, { "address_1": "1518 N MCKENZIE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FOLEY", "country_code": "US", "country_name": "United States", "postal_code": "365352277", "state": "AL", "telephone_number": "251-949-3842" } ], "basic": { "certification_date": "2026-03-13", "credential": "DO", "enumeration_date": "2019-03-28", "first_name": "RONALD", "last_name": "JORDAN", "last_updated": "2026-03-13", "middle_name": "SCOTT", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1553811555000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1773415190000", "number": "1760943013", "other_names": [], "practiceLocations": [ { "address_1": "PO BOX 689022", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FRANKLIN", "country_code": "US", "country_name": "United States", "fax_number": "615-628-6877", "postal_code": "370689022", "state": "TN", "telephone_number": "615-465-7390" }, { "address_1": "2451 UNIVERSITY HOSPITAL DR RM 714", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MOBILE", "country_code": "US", "country_name": "United States", "postal_code": "366172300", "state": "AL", "telephone_number": "251-471-7207" }, { "address_1": "920 MADISON AVENUE SUITE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381632300", "state": "TN", "telephone_number": "901-448-5364" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "2443", "primary": true, "state": "AL", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "2443", "primary": false, "state": "AL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6005 PARK AVE", "address_2": "STE 200", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-682-9351", "postal_code": "381195212", "state": "TN", "telephone_number": "901-761-2100" }, { "address_1": "6005 PARK AVE", "address_2": "STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-682-9351", "postal_code": "381195212", "state": "TN", "telephone_number": "901-761-2100" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-05-24", "first_name": "ROBERT", "last_name": "KERLAN", "last_updated": "2009-11-19", "middle_name": "A.", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1116964286000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "2006169", "issuer": "Blue Cross Blue Shield", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "2594515002", "issuer": "Cigna", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4354403", "issuer": "Aetna", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "772350", "issuer": "United Healthcare", "state": null } ], "last_updated_epoch": "1258664210000", "number": "1881697696", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD006515", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "fax_number": "901-377-5105", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" } ], "basic": { "certification_date": "2026-02-10", "credential": "MD", "enumeration_date": "2019-06-19", "first_name": "MUHAMMAD ZARRAR", "last_name": "KHAN", "last_updated": "2026-02-10", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1560999483000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q101793", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770744742000", "number": "1831759935", "other_names": [], "practiceLocations": [ { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35328", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "72526", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER DR STE 210", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2538", "postal_code": "381202353", "state": "TN", "telephone_number": "901-761-3900" }, { "address_1": "965 RIDGE LAKE BLVD STE 103", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381209446", "state": "TN" } ], "basic": { "certification_date": "2021-01-29", "credential": "M.D", "enumeration_date": "2008-04-28", "first_name": "GAURAV", "last_name": "KISTANGARI", "last_updated": "2021-01-29", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1209397283000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1611954206000", "number": "1538334800", "other_names": [], "practiceLocations": [ { "address_1": "401 SOUTHCREST CIR STE 203", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "fax_number": "662-775-4039", "postal_code": "386716719", "state": "MS", "telephone_number": "662-775-4025" }, { "address_1": "18101 LORAIN AVE", "address_2": "DEPARTMENT OF INTERNAL MEDICINE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CLEVELAND", "country_code": "US", "country_name": "United States", "fax_number": "216-476-2944", "postal_code": "441115612", "state": "OH", "telephone_number": "216-476-7369" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "28425", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "61685", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "P O BOX 1000 DEPT 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-478-8957", "postal_code": "381480001", "state": "TN", "telephone_number": "901-478-9183" }, { "address_1": "1265 UNION AVENUE 4 SHORB TOWER", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-478-8957", "postal_code": "381044418", "state": "TN", "telephone_number": "901-478-9183" } ], "basic": { "certification_date": "2026-05-28", "credential": "M.D.", "enumeration_date": "2014-11-14", "first_name": "JITEN", "last_name": "KOTHADIA", "last_updated": "2026-05-28", "middle_name": "P", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1415963743000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1779960339000", "number": "1245636596", "other_names": [], "practiceLocations": [ { "address_1": "2324 LIMESTONE OVERLOOK", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GAINESVILLE", "country_code": "US", "country_name": "United States", "postal_code": "305017443", "state": "GA", "telephone_number": "770-536-8109" } ], "taxonomies": [ { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "59366", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "59366", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "111423", "primary": false, "state": "GA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "8688 PLAYERS FAIRWAY DRIVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38125", "state": "TN", "telephone_number": "901-487-7713" }, { "address_1": "80 HUMPHREYS CENTER", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "38120", "state": "TN", "telephone_number": "901-578-2538" } ], "basic": { "certification_date": "2021-05-13", "credential": "MD", "enumeration_date": "2006-07-12", "first_name": "GERALD", "last_name": "LIEBERMAN", "last_updated": "2021-05-24", "middle_name": "J", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152751622000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0118522", "issuer": "BLUE CROSS OF TENNESSEE", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "107470001", "issuer": null, "state": "AR" }, { "code": "05", "desc": "MEDICAID", "identifier": "3814020", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1621891871000", "number": "1871518985", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "14850", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 1000", "address_2": "DEPT 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-271-0155", "postal_code": "381480001", "state": "TN", "telephone_number": "901-275-3662" }, { "address_1": "1265 UNION AVE", "address_2": "SUITE 184", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381043415", "state": "TN", "telephone_number": "901-516-9183" } ], "basic": { "credential": "MD", "enumeration_date": "2006-06-23", "first_name": "BENEDICT", "last_name": "MALIAKKAL", "last_updated": "2016-08-30", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1151119935000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1472587511000", "number": "1306872155", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "187710", "primary": false, "state": "NY", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "54376", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "54376", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "66 N PAULINE ST", "address_2": "SUITE 206", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-8015", "postal_code": "381055105", "state": "TN", "telephone_number": "901-448-7642" }, { "address_1": "1910 NONCONNAH BLVD", "address_2": "SUITE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-6657", "postal_code": "381322113", "state": "TN", "telephone_number": "901-448-2300" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-26", "first_name": "CHRISTOPHER", "last_name": "MARINO", "last_updated": "2007-07-08", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146089567000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3089992", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1183947785000", "number": "1588621502", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "26513", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3725 CHAMPION HILLS DR STE 2400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-565-8787", "postal_code": "381258000", "state": "TN", "telephone_number": "901-367-9001" }, { "address_1": "1211 UNION AVE STE 330", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381046655", "state": "TN" } ], "basic": { "certification_date": "2024-04-29", "credential": "M.D.", "enumeration_date": "2006-06-28", "first_name": "RONALD", "last_name": "MICHAEL", "last_updated": "2024-04-29", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1151531897000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00121961", "issuer": null, "state": "MS" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4308326", "issuer": "BCBS", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "P01003586", "issuer": "Railroad Medicare", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "Q007334", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1714397225000", "number": "1710915061", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "21690", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "basic": { "certification_date": "2026-02-10", "credential": "MD", "enumeration_date": "2018-06-26", "first_name": "MARYAM", "last_name": "MUBASHIR", "last_updated": "2026-02-10", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1530033051000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q092138", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770749971000", "number": "1801381496", "other_names": [ { "code": "1", "first_name": "MARYAM", "last_name": "ZAHEER", "type": "Former Name" } ], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "69679", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "33 STANIFORD ST FL 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PROVIDENCE", "country_code": "US", "country_name": "United States", "postal_code": "02905", "state": "RI", "telephone_number": "978-289-0745" }, { "address_1": "33 STANIFORD ST FL 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "PROVIDENCE", "country_code": "US", "country_name": "United States", "postal_code": "029053100", "state": "RI", "telephone_number": "978-289-0745" } ], "basic": { "credential": "M.D.", "enumeration_date": "2011-06-22", "first_name": "JEFFREY", "last_name": "NADELSON", "last_updated": "2018-08-08", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1308715542000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1533746402000", "number": "1619263399", "other_names": [], "practiceLocations": [ { "address_1": "956 COURT AVE STE H314", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032814", "state": "TN", "telephone_number": "978-289-0745" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "MD16090", "primary": false, "state": "RI", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "LP02295", "primary": false, "state": "RI", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "261952", "primary": false, "state": "MA", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD16090", "primary": true, "state": "RI", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 1000", "address_2": "DEPT # 457", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381480001", "state": "TN", "telephone_number": "901-516-9183" }, { "address_1": "1265 UNION AVE", "address_2": "SUITE 184", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-8993", "postal_code": "381043415", "state": "TN", "telephone_number": "901-516-9183" } ], "basic": { "credential": "MD", "enumeration_date": "2006-06-21", "first_name": "SATHEESH", "last_name": "NAIR", "last_updated": "2015-08-13", "middle_name": "PADMANABHAN", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1150923422000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "07227592", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "161152001", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4355636", "issuer": "BCBS", "state": "TN" }, { "code": "05", "desc": "MEDICAID", "identifier": "5441147", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "P01341822", "issuer": "Railroad Medicare", "state": "TN" } ], "last_updated_epoch": "1439475146000", "number": "1700822384", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "41288", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "41288", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "basic": { "certification_date": "2026-02-10", "credential": "MD", "enumeration_date": "2007-04-11", "first_name": "SRILAKSHMI", "last_name": "NARRA", "last_updated": "2026-02-10", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1176299785000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q031383", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770750366000", "number": "1134342868", "other_names": [ { "code": "5", "credential": "MD", "first_name": "SRI LAKSHMI", "last_name": "NARRA", "type": "Other Name" } ], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "24062", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "44217", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "4847 NAVY RD", "address_2": "UNIT 1584", "address_purpose": "MAILING", "address_type": "DOM", "city": "MILLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "38083", "state": "TN", "telephone_number": "901-857-7092" }, { "address_1": "4172 EGYPT CENTRAL RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "38128", "state": "TN", "telephone_number": "901-857-7092" } ], "basic": { "certification_date": "2021-04-22", "credential": "RN", "enumeration_date": "2021-04-24", "first_name": "TANYA", "last_name": "OLIVER", "last_updated": "2021-04-24", "middle_name": "SHENETA", "name_prefix": "Ms.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1619295388000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1619295388000", "number": "1548842016", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "163WC2100X", "desc": "Registered Nurse, Continence Care", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WD1100X", "desc": "Registered Nurse, Dialysis, Peritoneal", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WE0900X", "desc": "Registered Nurse, Enterostomal Therapy", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WG0100X", "desc": "Registered Nurse, Gastroenterology", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WG0600X", "desc": "Registered Nurse, Gerontology", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WH1000X", "desc": "Registered Nurse, Hospice", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WI0500X", "desc": "Registered Nurse, Infusion Therapy", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WI0600X", "desc": "Registered Nurse, Infection Control", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WN1003X", "desc": "Registered Nurse, Nutrition Support", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WN0300X", "desc": "Registered Nurse, Nephrology", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WP0000X", "desc": "Registered Nurse, Pain Management", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WP0809X", "desc": "Registered Nurse, Psych/Mental Health, Adult", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WU0100X", "desc": "Registered Nurse, Urology", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WW0000X", "desc": "Registered Nurse, Wound Care", "license": "868787", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "163WM0705X", "desc": "Registered Nurse, Medical-Surgical", "license": "868787", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1417 MONROE AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-260-5916", "postal_code": "381043634", "state": "TN", "telephone_number": "901-272-7200" }, { "address_1": "1417 MONROE AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-260-5916", "postal_code": "381043634", "state": "TN", "telephone_number": "901-272-7200" } ], "basic": { "certification_date": "2025-02-03", "credential": "M.D.", "enumeration_date": "2006-08-23", "first_name": "KODWO", "last_name": "ORLEANS-LINDSAY", "last_updated": "2025-02-03", "middle_name": "KUNTU", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1156367011000", "endpoints": [ { "address_1": "11104 Parkview Circle Dr Ste 310", "address_type": "DOM", "affiliation": "N", "city": "Fort Wayne", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/", "endpointType": "FHIR", "endpointTypeDescription": "FHIR URL", "postal_code": "468451733", "state": "IN", "useDescription": "" }, { "address_1": "11104 Parkview Circle Dr Ste 310", "address_type": "DOM", "affiliation": "N", "city": "Fort Wayne", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "korleanslindsay231241@Direct.Parkviewexchange.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "468451733", "state": "IN", "useDescription": "" }, { "address_1": "11104 Parkview Circle Dr Ste 310", "address_type": "DOM", "affiliation": "N", "city": "Fort Wayne", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/", "endpointType": "FHIR", "endpointTypeDescription": "FHIR URL", "postal_code": "468451733", "state": "IN", "useDescription": "" } ], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3333899", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "39513", "issuer": "TN Medical License", "state": "TN" } ], "last_updated_epoch": "1738584678000", "number": "1932216439", "other_names": [], "practiceLocations": [ { "address_1": "11104 PARKVIEW CIRCLE DR STE 310", "address_purpose": "LOCATION", "address_type": "DOM", "city": "FORT WAYNE", "country_code": "US", "country_name": "United States", "fax_number": "260-458-5972", "postal_code": "468451733", "state": "IN", "telephone_number": "260-266-5230" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "01082790A", "primary": false, "state": "IN", "taxonomy_group": "" }, { "code": "174400000X", "desc": "Specialist", "license": "39513", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-11-18", "first_name": "ERIC", "last_name": "ORMSETH", "last_updated": "2026-02-10", "middle_name": "JOHN", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1132332713000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q029241", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770757583000", "number": "1982686515", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "36990", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "18006", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "956 COURT AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032814", "state": "TN" }, { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033409", "state": "TN", "telephone_number": "901-545-6969" } ], "basic": { "certification_date": "2021-06-29", "credential": "MD", "enumeration_date": "2006-04-25", "first_name": "MANSOUR", "last_name": "PARSI", "last_updated": "2021-06-29", "middle_name": "A.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146018975000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "2561142", "issuer": null, "state": "OH" } ], "last_updated_epoch": "1624989981000", "number": "1447216692", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35084242", "primary": false, "state": "OH", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "308742", "primary": false, "state": "LA", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "62769", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1417 MONROE AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-260-5916", "postal_code": "381043634", "state": "TN", "telephone_number": "901-272-7200" }, { "address_1": "1417 MONROE AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-260-5916", "postal_code": "381043634", "state": "TN", "telephone_number": "901-272-7200" } ], "basic": { "authorized_official_first_name": "SEANDRIA", "authorized_official_last_name": "EVANS", "authorized_official_middle_name": "F", "authorized_official_telephone_number": "9012727200", "authorized_official_title_or_position": "Administrator", "enumeration_date": "2006-08-23", "last_updated": "2019-10-03", "organization_name": "PHILLIP R. BOWDEN, M.D.,P.A.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1156376217000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3709199", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1570127761000", "number": "1932216389", "other_names": [], "practiceLocations": [ { "address_1": "1717 KIRBY PKWY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-272-0820", "postal_code": "381204331", "state": "TN", "telephone_number": "901-272-7200" } ], "taxonomies": [ { "code": "261Q00000X", "desc": "Clinic/Center", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "6005 PARK AVE", "address_2": "SUITE 323B", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-684-5518", "postal_code": "381195202", "state": "TN", "telephone_number": "901-684-5500" }, { "address_1": "6005 PARK AVE", "address_2": "SUITE 323B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-684-5518", "postal_code": "381195202", "state": "TN", "telephone_number": "901-684-5500" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-11-28", "first_name": "MARY", "last_name": "PORTIS", "last_updated": "2007-07-08", "middle_name": "CECELIA", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1133207567000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1265415822", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD26819", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1211 UNION AVE STE 700", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-937-6696", "postal_code": "381046600", "state": "TN", "telephone_number": "901-478-0954" }, { "address_1": "1211 UNION AVE STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381046654", "state": "TN", "telephone_number": "901-525-0278" } ], "basic": { "authorized_official_first_name": "TABATHA", "authorized_official_last_name": "PERRY", "authorized_official_telephone_number": "9014780954", "authorized_official_title_or_position": "Manager, Provider Enrollment", "certification_date": "2025-09-22", "enumeration_date": "2010-11-12", "last_updated": "2025-09-22", "organization_name": "PRIMARY CARE GROUP LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1289570423000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1522556", "issuer": null, "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4290151", "issuer": "BCBS TN", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "DR2914", "issuer": "Railroad Medicare", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "DS1812", "issuer": "Railroad Medicare", "state": "MS" } ], "last_updated_epoch": "1758545636000", "number": "1093016651", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208000000X", "desc": "Pediatrics", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LA2200X", "desc": "Nurse Practitioner, Adult Health", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363A00000X", "desc": "Physician Assistant", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RR0500X", "desc": "Internal Medicine, Rheumatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2008-05-08", "first_name": "RAJESH", "last_name": "RAMACHANDRAN", "last_updated": "2026-02-10", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1210272562000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q026487", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770758378000", "number": "1194992271", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "54908", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "24672", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "550 UNIVERSITY BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "INDIANAPOLIS", "country_code": "US", "country_name": "United States", "postal_code": "462025149", "state": "IN", "telephone_number": "317-944-0980" }, { "address_1": "250 N SHADELAND AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "INDIANAPOLIS", "country_code": "US", "country_name": "United States", "postal_code": "462194959", "state": "IN" } ], "basic": { "certification_date": "2025-03-06", "credential": "MD", "enumeration_date": "2014-08-19", "first_name": "NASIR", "last_name": "SALEEM", "last_updated": "2025-03-06", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1408490518000", "endpoints": [ { "address_1": "24 Six Pine Ranch Rd", "address_type": "DOM", "affiliation": "N", "city": "Batesville", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "nasir.saleem@mmhealth.cernerdirect.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "470061399", "state": "IN", "useDescription": "" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1741297167000", "number": "1881093482", "other_names": [], "practiceLocations": [ { "address_1": "1525 W BELMONT AVE STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHICAGO", "country_code": "US", "country_name": "United States", "postal_code": "606577115", "state": "IL", "telephone_number": "773-883-2800" }, { "address_1": "UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-448-7836", "postal_code": "381635640", "state": "TN", "telephone_number": "901-448-2510" }, { "address_1": "24 SIX PINE RANCH RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BATESVILLE", "country_code": "US", "country_name": "United States", "postal_code": "470061399", "state": "IN", "telephone_number": "812-932-4673" }, { "address_1": "1701 N SENATE BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "INDIANAPOLIS", "country_code": "US", "country_name": "United States", "postal_code": "462021239", "state": "IN", "telephone_number": "888-484-3258" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "125065026", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "036141616", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "60002", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "01085492A", "primary": false, "state": "IN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "01085492A", "primary": true, "state": "IN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1407 UNION AVE", "address_2": "SUITE 640", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-302-2372", "postal_code": "381043627", "state": "TN", "telephone_number": "901-866-8372" }, { "address_1": "1407 UNION AVE", "address_2": "SUITE 640", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-302-2120", "postal_code": "381043627", "state": "TN", "telephone_number": "901-866-8813" } ], "basic": { "credential": "MD", "enumeration_date": "2011-03-25", "first_name": "SANJAYA", "last_name": "SATAPATHY", "last_updated": "2011-11-11", "middle_name": "KUMAR", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1301066067000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1320992693000", "number": "1700185089", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD0000047432", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RI0008X", "desc": "Internal Medicine, Hepatology", "license": "MD0000047432", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": "MD0000047432", "primary": false, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-3206", "postal_code": "381209401", "state": "TN", "telephone_number": "877-348-1281" }, { "address_1": "2424 15TH ST FL 4", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MERIDIAN", "country_code": "US", "country_name": "United States", "fax_number": "601-553-6746", "postal_code": "393013951", "state": "MS", "telephone_number": "601-553-2000" } ], "basic": { "certification_date": "2025-01-16", "credential": "M.D", "enumeration_date": "2012-04-02", "first_name": "NIRAJ", "last_name": "SHAH", "last_updated": "2025-01-16", "middle_name": "JAMES", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1333389195000", "endpoints": [ { "address_1": "One Hospital Dr", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Curators of the University of Missouri", "city": "Columbia", "contentOtherDescription": "Direct", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu", "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "652120001", "state": "MO", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "09651555", "issuer": null, "state": "MS" }, { "code": "05", "desc": "MEDICAID", "identifier": "200109033", "issuer": null, "state": "MO" } ], "last_updated_epoch": "1737056729000", "number": "1235495474", "other_names": [], "practiceLocations": [ { "address_1": "ONE HOSPITAL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLUMBIA", "country_code": "US", "country_name": "United States", "fax_number": "573-884-5318", "postal_code": "652120001", "state": "MO", "telephone_number": "573-884-8445" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "2022009594", "primary": true, "state": "MO", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 HUMPHREYS CENTER DR STE 210", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-578-2572", "postal_code": "381202353", "state": "TN", "telephone_number": "901-761-3900" }, { "address_1": "965 RIDGE LAKE BLVD STE 103", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-227-8591", "postal_code": "381209446", "state": "TN" } ], "basic": { "credential": "MD", "enumeration_date": "2007-05-09", "first_name": "RANDELON", "last_name": "SMITH", "last_updated": "2019-12-03", "middle_name": "D", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1178749972000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1575405058000", "number": "1790999753", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "E-5424", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "47472", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "DO", "enumeration_date": "2015-05-04", "first_name": "PETER", "last_name": "SNELL", "last_updated": "2026-02-10", "middle_name": "DAVID", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1430750622000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q043797", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770760124000", "number": "1003293622", "other_names": [], "practiceLocations": [ { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "30380", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "3417", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3725 CHAMPION HILLS DR", "address_2": "SUITE 2000", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-565-8787", "postal_code": "381252597", "state": "TN", "telephone_number": "901-367-9001" }, { "address_1": "P. O. BOX 1000 DEPT 362", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-255-5223", "postal_code": "381480001", "state": "TN", "telephone_number": "901-373-9704" } ], "basic": { "authorized_official_first_name": "JASON", "authorized_official_last_name": "BARRETT", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9013679001", "authorized_official_title_or_position": "Practice Administrator", "enumeration_date": "2006-06-04", "last_updated": "2011-11-30", "organization_name": "SOUTHWIND MEDICAL SPECIALISTS, P. C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1149472219000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "149748002", "issuer": null, "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "8P085", "issuer": "BCBS", "state": "AR" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "=========", "issuer": "Tricare", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "CH3787", "issuer": "Rail Road Medicare", "state": null } ], "last_updated_epoch": "1322683876000", "number": "1447299896", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "6005 PARK AVE", "address_2": "STE 200", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-682-9351", "postal_code": "381195212", "state": "TN", "telephone_number": "901-761-2100" }, { "address_1": "6005 PARK AVE", "address_2": "STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-682-9351", "postal_code": "381195212", "state": "TN", "telephone_number": "901-761-2100" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-05-24", "first_name": "EUGENE", "last_name": "SPIOTTA", "last_updated": "2009-11-19", "middle_name": "J.", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1116966619000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "1210649", "issuer": "United Healthcare", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "2006943", "issuer": "Blue Cross Blue Shield", "state": "TN" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "2567047001", "issuer": "Cigna", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "4385995", "issuer": "Aetna", "state": null } ], "last_updated_epoch": "1258667699000", "number": "1821091612", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD008432", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "11890 METZ PL", "address_purpose": "MAILING", "address_type": "DOM", "city": "EADS", "country_code": "US", "country_name": "United States", "postal_code": "380286984", "state": "TN", "telephone_number": "901-854-7363" }, { "address_1": "5744 NANJACK CIR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381152061", "state": "TN", "telephone_number": "901-854-7363" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "JOHNATHAN", "authorized_official_last_name": "ISOM", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9018547363", "authorized_official_title_or_position": "CEO", "enumeration_date": "2015-10-09", "last_updated": "2015-10-09", "organization_name": "THE AKESO GROUP", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1444399535000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1444399535000", "number": "1902277429", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "367500000X", "desc": "Nurse Anesthetist, Certified Registered", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "fax_number": "901-747-4039", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-08-15", "first_name": "BRYAN", "last_name": "THOMPSON", "last_updated": "2026-02-10", "middle_name": "F", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1124111442000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3891021", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770760896000", "number": "1164424644", "other_names": [], "practiceLocations": [ { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD0000038246", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23224", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "877 JEFFERSON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-545-7306", "postal_code": "381032807", "state": "TN", "telephone_number": "901-545-7100" }, { "address_1": "877 JEFFERSON AVE", "address_2": "ATTN: PROVIDER ENROLLMENT", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381032807", "state": "TN" } ], "basic": { "credential": "MD", "enumeration_date": "2006-04-25", "first_name": "CLAUDIO", "last_name": "TOMBAZZI", "last_updated": "2017-06-14", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146002524000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3867848", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1497460111000", "number": "1649236811", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35838", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1264 WESLEY DR", "address_2": "SUITE 303", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-398-9581", "postal_code": "381166400", "state": "TN", "telephone_number": "901-398-9574" }, { "address_1": "1264 WESLEY DR", "address_2": "SUITE 303", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-398-9581", "postal_code": "381166400", "state": "TN", "telephone_number": "901-398-9574" } ], "basic": { "authorized_official_first_name": "GWENDOLYN", "authorized_official_last_name": "JONES", "authorized_official_middle_name": "WASHINGTON", "authorized_official_name_prefix": "Mrs.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "9013989574", "authorized_official_title_or_position": "Practice Manager", "enumeration_date": "2006-05-31", "last_updated": "2020-08-22", "organization_name": "TRI-STATE GASTROENTEROLOGY, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1149115330000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1598100723000", "number": "1972540953", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "421 AVON RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381171808", "state": "TN", "telephone_number": "901-684-6101" }, { "address_1": "421 AVON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381171808", "state": "TN", "telephone_number": "901-684-6101" } ], "basic": { "credential": "M.D.", "enumeration_date": "2010-11-01", "first_name": "JAMES", "last_name": "UPSHAW", "last_updated": "2010-11-01", "middle_name": "JEREMIAH", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1288634911000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1288634911000", "number": "1427358886", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD5258", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1211 UNION AVE STE 700", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-937-6696", "postal_code": "381046600", "state": "TN", "telephone_number": "901-478-0954" }, { "address_1": "1325 EASTMORELAND AVE STE 310", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-266-6425", "postal_code": "381047544", "state": "TN", "telephone_number": "901-758-7970" } ], "basic": { "authorized_official_first_name": "TABATHA", "authorized_official_last_name": "PERRY", "authorized_official_telephone_number": "9014780954", "authorized_official_title_or_position": "Manager, Provider Enrollment", "certification_date": "2025-10-20", "enumeration_date": "2012-05-03", "last_updated": "2025-10-20", "organization_name": "UT METHODIST PHYSICIANS LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1336079790000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1760993051000", "number": "1427317908", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086S0129X", "desc": null, "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RT0003X", "desc": "Internal Medicine, Transplant Hepatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RR0500X", "desc": "Internal Medicine, Rheumatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "204F00000X", "desc": "Transplant Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086X0206X", "desc": "Surgery, Surgical Oncology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208G00000X", "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RN0300X", "desc": "Internal Medicine, Nephrology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0200X", "desc": "Internal Medicine, Infectious Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "880 MADISON AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-545-8122", "postal_code": "381033409", "state": "TN", "telephone_number": "901-515-4541" }, { "address_1": "877 JEFFERSON AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-545-8122", "postal_code": "381032807", "state": "TN", "telephone_number": "901-515-4541" } ], "basic": { "certification_date": "2021-07-22", "credential": "MD", "enumeration_date": "2006-07-07", "first_name": "G", "last_name": "VERNE", "last_updated": "2021-07-22", "middle_name": "NICHOLAS", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1152278554000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "2750410", "issuer": null, "state": "OH" } ], "last_updated_epoch": "1626977036000", "number": "1609808062", "other_names": [ { "code": "5", "first_name": "G.", "last_name": "VERNE", "middle_name": "NICHOLAS", "prefix": "Dr.", "type": "Other Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35.089794", "primary": false, "state": "OH", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "60200", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1264 WESLEY DRIVE", "address_2": "#602", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-3869", "postal_code": "381166459", "state": "TN", "telephone_number": "901-396-0311" }, { "address_1": "1264 WESLEY DRIVE", "address_2": "#602", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "fax_number": "901-516-3869", "postal_code": "381166459", "state": "TN", "telephone_number": "901-396-0311" } ], "basic": { "credential": "MD", "enumeration_date": "2006-10-18", "first_name": "LEE", "last_name": "WARDLAW", "last_updated": "2007-07-08", "middle_name": "LYLE", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1161180905000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00014795", "issuer": null, "state": "MS" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "1000000014", "issuer": "Mediare", "state": "MS" } ], "last_updated_epoch": "1183948570000", "number": "1134200025", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "MD008559", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "05332", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2022-08-23", "credential": "M.D.", "enumeration_date": "2012-06-29", "first_name": "ANDREW", "last_name": "WEEKS", "last_updated": "2022-08-23", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1341001232000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "09701311", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1661283913000", "number": "1346504768", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23757", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "484 GOLDEN AUTUMN WAY STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BOWLING GREEN", "country_code": "US", "country_name": "United States", "fax_number": "270-780-0475", "postal_code": "421036914", "state": "KY", "telephone_number": "270-783-3300" }, { "address_1": "201 PARK ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BOWLING GREEN", "country_code": "US", "country_name": "United States", "fax_number": "270-780-0475", "postal_code": "421011708", "state": "KY", "telephone_number": "270-783-3300" } ], "basic": { "certification_date": "2025-07-28", "credential": "D.O.", "enumeration_date": "2016-03-25", "first_name": "THOMAS", "last_name": "WELLS", "last_updated": "2025-07-28", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1458945968000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1753713578000", "number": "1386006575", "other_names": [], "practiceLocations": [ { "address_1": "920 MADISON AVE STE 447", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381033438", "state": "TN", "telephone_number": "901-448-5814" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "05487", "primary": true, "state": "KY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "601-714-6471", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" }, { "address_1": "965 RIDGE LAKE BLVD STE 315", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN" } ], "basic": { "certification_date": "2022-08-23", "credential": "M.D.", "enumeration_date": "2012-06-29", "first_name": "JAMES", "last_name": "WHATLEY", "last_updated": "2022-08-23", "middle_name": "ZEBEDEE", "name_prefix": "Dr.", "name_suffix": "IV", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1341000594000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1661279468000", "number": "1184988594", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "57688", "primary": false, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "23282", "primary": true, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-12-07", "first_name": "ROBERT", "last_name": "WOOTEN", "last_updated": "2026-02-10", "middle_name": "STRODE", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1133970381000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q027511", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770762633000", "number": "1437134020", "other_names": [], "practiceLocations": [ { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "17795", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "11856", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" }, { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-08-12", "first_name": "GARY", "last_name": "WRUBLE", "last_updated": "2026-02-10", "middle_name": "A", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1123866822000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3092909", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770762727000", "number": "1215939897", "other_names": [], "practiceLocations": [ { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "14527", "primary": false, "state": "MS", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "26956", "primary": true, "state": "TN", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 381468", "address_purpose": "MAILING", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381831468", "state": "TN" }, { "address_1": "8000 WOLF RIVER BLVD STE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381755", "state": "TN", "telephone_number": "901-747-3630" } ], "basic": { "certification_date": "2026-02-10", "credential": "M.D.", "enumeration_date": "2005-12-07", "first_name": "ZIAD", "last_name": "YOUNES", "last_updated": "2026-02-10", "middle_name": "HANNA", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1133972484000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "Q026450", "issuer": null, "state": "TN" } ], "last_updated_epoch": "1770762877000", "number": "1285619874", "other_names": [], "practiceLocations": [ { "address_1": "1324 WOLF PARK DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GERMANTOWN", "country_code": "US", "country_name": "United States", "postal_code": "381381741", "state": "TN", "telephone_number": "901-755-9110" }, { "address_1": "1325 EASTMORELAND AVE STE 410", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381047540", "state": "TN", "telephone_number": "901-261-6650" }, { "address_1": "3350 N GERMANTOWN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BARTLETT", "country_code": "US", "country_name": "United States", "postal_code": "381334026", "state": "TN", "telephone_number": "901-377-2111" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" }, { "address_1": "7900 AIRWAYS BLVD STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTHAVEN", "country_code": "US", "country_name": "United States", "postal_code": "386714113", "state": "MS", "telephone_number": "662-349-6950" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "35361", "primary": true, "state": "TN", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "17419", "primary": false, "state": "MS", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1200 N STATE ST STE 270", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" }, { "address_1": "965 RIDGE LAKE BLVD", "address_purpose": "MAILING", "address_type": "DOM", "city": "MEMPHIS", "country_code": "US", "country_name": "United States", "postal_code": "381209401", "state": "TN", "telephone_number": "901-227-4692" } ], "basic": { "certification_date": "2024-11-07", "credential": "MD", "enumeration_date": "2006-05-05", "first_name": "MABEL", "last_name": "ZEVALLOS", "last_updated": "2024-11-07", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1146874069000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "01452591", "issuer": null, "state": "MS" } ], "last_updated_epoch": "1730995751000", "number": "1336197649", "other_names": [], "practiceLocations": [ { "address_1": "1200 N STATE ST STE 280", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "postal_code": "392022027", "state": "MS", "telephone_number": "601-714-6470" }, { "address_1": "415 S 28TH AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HATTIESBURG", "country_code": "US", "country_name": "United States", "postal_code": "394017246", "state": "MS", "telephone_number": "601-268-5680" }, { "address_1": "701 E MARSHALL AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LONGVIEW", "country_code": "US", "country_name": "United States", "postal_code": "756015659", "state": "TX", "telephone_number": "903-315-5418" } ], "taxonomies": [ { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "N6794", "primary": true, "state": "TX", "taxonomy_group": "" }, { "code": "207RG0100X", "desc": "Internal Medicine, Gastroenterology", "license": "19001", "primary": false, "state": "MS", "taxonomy_group": "" } ] } ] }