UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. (NPI# 1093024101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093024101 |
| Entity Type | Organization |
| Organization Name | UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. |
| Practice Address |
848 Adams Ave. Memphis TN 38103 |
| Mailing Address |
850 Poplar Ave. Bldg. 2 Memphis TN 38105 |
| Practice Telephone | 9012877337 |
| Mailing Telephone | 9012875513 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | LAUREN HINES (MANAGER) |
| Authorized Official Telephone | 9012875513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 9012877337 | |
| 6401 Poplar Ave, Ste. 324, Memphis, TN 38119 | 9012877337 | |
| 51 N. Dunlap St., 2nd Floor, Memphis, TN 38105 | 9012877337 | |
| 8001 Centerview Parkway, Cordova, TN 38018 | 9012877337 | |
| 1535 Vann Dr, Jackson, TN 38305 | 7319849944 | |
| 942 Commonwealth Blvd, Tupelo, MS 38804 | 6626200101 | |
| 920 Estate Drive, Memphis, TN 38119 | 9012877337 | |
| 1920 Kirby Parkway, Ste. 100, Germantown, TN 38138 | 9012877337 | |
| 930 Madison Ave Ste 400, Memphis, TN 381037400 | 9012877337 | 9014481813 |
| 51 N Dunlap St Ste 400, Memphis, TN 381054625 | 9012877337 | |
| 800 S Church St Ste 104, Jonesboro, AR 724014154 | 8703361778 | 8703661780 |
| 51 N Dunlap St Ste G10, Memphis, TN 381054625 | 9012877337 | |
| 4055 N Park Loop, Memphis, TN 38152 | 9016782009 | 9016785497 |
| 100 N Humphreys Blvd, Memphis, TN 381202146 | 9012877337 | |
| 848 Adams Ave Ste L400, Memphis, TN 381032816 | 9012877337 | 9012874540 |
| 610 Brunson Dr, Tupelo, MS 38804 | 9012877337 | 9014481813 |
| 51 N Dunlap St Ste 100, Memphis, TN 381054625 | 9012877337 | |
| 800 S. Church Street, Jonesboro, AR 72401 | 9012877337 | |
| 51 N. Dunlap, 4th Floor, Memphis, TN 38105 | 9012877337 | |
| 51 N Dunlap St., Ste. G10, Memphis, TN 38105 | 9012877337 |
| Street Address |
848 ADAMS AVE. |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659337855 | James Wheless | Psychiatry & Neurology | 848 Adams Ave., Ste. L400, Memphis, TN 38105 | 2006-04-25 |
| 1912556895 | University of Tennessee | Dentist | 848 Adams Ave., Suite 101, Memphis, TN 38103-2816 | 2019-09-04 |
| 1740765940 | Haley Miranda Freeman | Nurse Practitioner | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2018-10-03 |
| 1780169441 | Brianna Megan Dale | Nurse Practitioner | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2018-09-28 |
| 1992287213 | Jessica Arean Pliego | Clinical Neuropsychologist | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2018-09-04 |
| 1184870958 | Namrata Samir Shah | Psychiatry & Neurology | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2008-08-13 |
| 1528278223 | Basanagoud Mudigoudar | Psychiatry & Neurology | 848 Adams Ave., Ste.l400, Memphis, TN 38103 | 2007-05-23 |
| 1649309394 | Robin Lynne Jack | Psychiatry & Neurology | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015453 | Taylor Aglio | Pediatrics | 49 N Dunlap St # 131, Memphis, TN 38103-2802 | 2015-06-14 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1366844490 | Gerard Joseph Billmeier Jr. | Pediatrics | 6465 Massey Lane, Memphis, TN 38120-3307 | 2014-09-19 |
| 1316348089 | James Levernier | Pediatrics | 4781 Park Ave, Memphis, TN 38117-5623 | 2014-09-11 |
| 1124454657 | Walter Thompson Hughes Jr. | Pediatrics | 854 River Park Dr, Memphis, TN 38103-0804 | 2013-09-16 |
| 1518301084 | Jennifer Lauren Miller | Pediatrics | 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 | 2013-04-26 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1477845451 | Emilee Adelyn Dobish | Pediatrics | 850 Poplar Ave, Building 2, Memphis, TN 38103 | 2011-05-09 |
| 1366748055 | Silpa Peravali | Pediatrics | Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 | 2011-01-28 |
| 1275854259 | Melissa Ruth Hines | Pediatrics | 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 | 2010-06-14 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.