| Gastrointestinal Specialists Foundation, Inc | |
|
80 Humphreys Center Dr Ste 200 Memphis TN 38120-2352 | |
| (901) 578-2538 | |
| (901) 578-2572 |
| Full Name | Gastrointestinal Specialists Foundation, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Humphreys Center Dr Ste 200, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Specialists Foundation, Inc Po Box 405827 Atlanta GA 30384-5800 Ph: (901) 578-2538 | Gastrointestinal Specialists Foundation, Inc 80 Humphreys Center Dr Ste 200 Memphis TN 38120-2352 Ph: (901) 578-2538 |
| NPI Number | 1942546452 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 9830334010 |
|---|---|
| Medicare Enrollment ID | O20130315000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942546452 | NPI | - | NPPES |
| 201055002 | Medicaid | AR | |
| 201063002 | Medicaid | AR |
| Provider Name | William P Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134233729 PECOS PAC ID: 1052399219 Enrollment ID: I20071115000590 |
| Provider Name | Joseph R Feltman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558528174 PECOS PAC ID: 6103994439 Enrollment ID: I20081014000092 |
| Provider Name | Andre C Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538383765 PECOS PAC ID: 1557412285 Enrollment ID: I20090619000254 |
| Provider Name | Edward Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659558260 PECOS PAC ID: 9830242676 Enrollment ID: I20090727000788 |
| Provider Name | Walter H Stuart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578794483 PECOS PAC ID: 0547308306 Enrollment ID: I20091116000319 |
| Provider Name | Michael W Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831411396 PECOS PAC ID: 0244369304 Enrollment ID: I20100527000589 |
| Provider Name | Paul S Bierman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144245234 PECOS PAC ID: 8325041239 Enrollment ID: I20110510000766 |
| Provider Name | Kenneth I Fields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285659383 PECOS PAC ID: 5496750606 Enrollment ID: I20110511000418 |
| Provider Name | Randelon D Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790999753 PECOS PAC ID: 9638255086 Enrollment ID: I20110908001715 |
| Provider Name | Lakina Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871033472 PECOS PAC ID: 7517243223 Enrollment ID: I20170412001563 |
| Provider Name | Ballina H Griffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871814 PECOS PAC ID: 1658620729 Enrollment ID: I20180822002656 |
| Provider Name | Angela L Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457831794 PECOS PAC ID: 5991040172 Enrollment ID: I20181215000578 |
| Provider Name | Gaurav Kistangari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538334800 PECOS PAC ID: 4183796600 Enrollment ID: I20201020002739 |
| Provider Name | Britney Janee' Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063175693 PECOS PAC ID: 6204221922 Enrollment ID: I20220316001351 |
| Provider Name | Nicholas Guy Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639816648 PECOS PAC ID: 6305217787 Enrollment ID: I20230123000889 |
| Provider Name | Abdullah M Al-rashdan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588831721 PECOS PAC ID: 8628142882 Enrollment ID: I20230627002122 |
| Provider Name | Charlotte Joure Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521053 PECOS PAC ID: 6103288915 Enrollment ID: I20230810002642 |
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